IndividualActive
Anand Ponnappan, MD
NPI 1629124243 · Otolaryngology Physician · Mattoon, IL
Provider details
- NPI number
- 1629124243
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036123972 (IL)
Practice location
1005 Health Center Dr Ste 201
Mattoon, IL 61938-4653
Phone: (217) 258-2409
Fax: (217) 258-2323
Mailing address
147 S Delaplaine Rd
Riverside, IL 60546-2371
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.