Active NPI
Farnaz Ellikkal Munjummal
- Student in an Organized Health Care Education/Training Program
- Beachwood, OH
National Provider Identifier
1447043344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RES.004915
- Practice address
- 22901 Millcreek Blvd Ste 200
Beachwood, OH 44122-5701 - Phone
- (919) 218-2213
- NPI assigned
- May 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RES.004915 | OH | Primary |
Addresses
Primary practice location
22901 Millcreek Blvd Ste 200
Beachwood, OH 44122-5701
Mailing address
22901 Millcreek Blvd Ste 200
Beachwood, OH 44122-5701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES.004915 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1447043344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22901 MILLCREEK BLVD STE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22901 MILLCREEK BLVD STE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225701",
"telephone_number": "919-218-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIKKAL MUNJUMMAL",
"first_name": "FARNAZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-23",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "RES.004915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.