Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EBY ISON THEKKEDATH, DO
ActiveDR. EBY ISON THEKKEDATH, DO is a Sports Medicine (IM) healthcare provider located in ANN ARBOR, Michigan. NPI 1063973659 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · ANN ARBOR, MI
Registration Details
- NPI Number
- 1063973659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2019 (7.4112510625998 yrs)
- Last Updated
- Jul 11, 2025
- License
-
5101028492 (MI)
Practice Information
- Address
-
1500 E MEDICAL CENTER DRANN ARBOR, MI, 481095000Browse MI providers · Browse ZIP 48109
- Phone
- 7349369068
- Fax
- 7349365377
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
Other Sports Medicine (IM) Providers in ANN ARBOR, MI
| Name | Credential | NPI |
|---|---|---|
| GARY S. RICHARDSON | M.D. | 1700945045 |
| TRI NGUYEN | DO | 1265938120 |
| XINHANG TU | BM | 1922615715 |
| DR. NAIA MCMILLAN-CASTANARES | — | 1558931196 |
| PAUL CHO | — | 1255074704 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.