Jeril Anthony Kannampuzha, M.D.

Pediatrics Physician · Gainesville, TX

Individual Active NPI

NPI number 1487072906

Practice location

1902 Hospital Blvd
Gainesville, TX 76240-2007
Phone
(940) 612-8750
Fax
(940) 668-2663

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NPI record

NPI
1487072906
Entity type
Individual (Type 1)
Enumeration date
April 1, 2014
Last updated
October 10, 2023
Certified
October 10, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X Q9840 TX
Pediatrics Physician 208000000X 955120 NY

Mailing address

1900 Hospital Blvd
Gainesville, TX 76240-2002
Phone
(940) 665-1751

About Dr. Kannampuzha

Jeril Anthony Kannampuzha, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1902 Hospital Blvd, Gainesville, TX 76240-2007. The NPI number 1487072906 was assigned on April 1, 2014 and the record was last updated on October 10, 2023.

Dr. Kannampuzha lists 2 licenses in the registry: #Q9840 (TX) for Pediatrics Physician; #955120 (NY) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeril Anthony Kannampuzha, M.D.?

The NPI number is 1487072906.

What is the phone number of Dr. Kannampuzha?

The phone number listed for the practice location is (940) 612-8750.

Where is Dr. Kannampuzha located?

1902 Hospital Blvd, Gainesville, TX 76240-2007.

What is the taxonomy code for Dr. Kannampuzha?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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