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Benny Illickal
Diagnostic Radiology Physician in Sunnyvale, Texas
NPI 1740682673

Benny Illickal is a Diagnostic Radiology Physician based in Sunnyvale, TX and is specialized in Diagnostic Radiology. Benny Illickal practices in Sunnyvale, TX. The NPI Number for Benny Illickal is 1740682673 and holds a License No. R37333 (Texas).

The current practice location address for Benny Illickal is 291 Stone Mountain Dr, Sunnyvale, TX and can be reached out via phone at 972-352-7260.

Location: 291 Stone Mountain Dr, Sunnyvale, TX, 75182-2655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740682673
Provider Name
Benny Illickal
Credential
Provider Entity Type
Individual
Gender
Male
Address
291 Stone Mountain Dr, Sunnyvale, TX, 75182-2655
Phone Number
972-352-7260
Fax Number
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
291 Stone Mountain Dr
City
Sunnyvale
State
Texas
Zip
75182-2655
Phone Number
972-352-7260
Fax Number
person
Provider Business Mailing Address Details
Address
291 Stone Mountain Dr
City
Sunnyvale
State
Texas
Zip
75182-2655
Phone Number
972-352-7260
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
R37333 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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