Active NPI
Krishnakumar Thankappan, MBBS
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Buffalo, NY
National Provider Identifier
1831341643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- P67652
- Practice address
- Dept of Head and Neck Roswell Park Cancer
Elm and Carlton Streets
Buffalo, NY 14263-0001 - Phone
- (716) 830-4421
- NPI assigned
- Oct 13, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | P67652 | NY | Primary |
Addresses
Primary practice location
Dept of Head and Neck Roswell Park Cancer
Elm and Carlton Streets
Buffalo, NY 14263-0001
Mailing address
Dept of Head and Neck Roswell Park Cancer
Elm and Carlton Streets
Buffalo, NY 14263-0001
Phone (716) 830-4421
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 |
|---|---|---|---|
| P67652 | NY | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1831341643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT OF HEAD AND NECK ROSWELL PARK CANCER",
"address_2": "ELM AND CARLTON STREETS",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-830-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF HEAD AND NECK ROSWELL PARK CANCER",
"address_2": "ELM AND CARLTON STREETS",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-830-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THANKAPPAN",
"first_name": "KRISHNAKUMAR",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NY",
"license": "P67652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.