DR. SELVIN GNANAKKAN, O.D. M.B.A

Optometrist

Active Individual
NPI: 1104980846

Practice Address

7122 N 59TH AVE FL 1
Glendale, AZ 85301

Phone: (623) 931-1043

Specialties

Specialty Code Primary License
Ophthalmology 207W00000X No TA1769 (MD)
Optometrist 152W00000X Yes 1127 (AZ)

Frequently Asked Questions

NPI 1104980846 is the National Provider Identifier for DR. SELVIN GNANAKKAN, O.D. M.B.A, a Optometrist provider located in Glendale, AZ. This NPI was enumerated on December 20, 2006.
DR. SELVIN GNANAKKAN, O.D. M.B.A practices at 7122 N 59TH AVE FL 1, Glendale, AZ 85301.

Quick Facts

NPI
1104980846
Type
Individual
Enumerated
Dec 20, 2006
Last Updated
Mar 22, 2022

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