Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KARTHIKEYAN PONNUSAMY, M.D.
ActiveKARTHIKEYAN PONNUSAMY, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in WOODSTOCK, Georgia. NPI 1265722698 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · WOODSTOCK, GA
Registration Details
- NPI Number
- 1265722698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2011 (15.347795896531 yrs)
- Last Updated
- Feb 15, 2024
- Licenses
-
27416 (WV)110573 (ZZ)77758 (GA)
Practice Information
- Address
-
1505 STONE BRIDGE PKWY STE 200WOODSTOCK, GA, 301898282Browse GA providers · Browse ZIP 30189
- Phone
- 7709269112
- Fax
- 7709268240
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Sports Medicine (Orthopaedic)
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.