Provider Demographics
NPI:1447050828
Name:SANKOORIKAL FAMILY MEDICINE PLLC
Entity type:Organization
Organization Name:SANKOORIKAL FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINEETH-JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SANKOORIKAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-287-4317
Mailing Address - Street 1:261 TRACE COLONY PARK DRIVE
Mailing Address - Street 2:STE B
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-8730
Mailing Address - Country:US
Mailing Address - Phone:601-287-4317
Mailing Address - Fax:601-429-9273
Practice Address - Street 1:261 TRACE COLONY PARK DR STE B
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-8855
Practice Address - Country:US
Practice Address - Phone:601-287-4317
Practice Address - Fax:601-429-9273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care