Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENNY PAUL THANNIKKOTU, M.D.
Active Sole ProprietorDR. BENNY PAUL THANNIKKOTU, M.D. is a Specialist healthcare provider located in CALEDON, ON. NPI 1396093373 is currently active in the NPPES registry. Verify at CMS.
Specialist · CALEDON, ON
Registration Details
- NPI Number
- 1396093373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2012 (13.954845149443 yrs)
- Last Updated
- Feb 1, 2026
- License
-
29165 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18655 HEART LAKE RDCALEDON, ON, L7K2A5Browse ON providers
- Phone
- 6472864977
- Primary Specialty
-
Specialist
174400000X
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.