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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUSAI BENIJE PANNIR SELVAM
NPI 1396651063
Student in an Organized Health Care Education/Training Program in Ganado, AZ

Active since August 21, 2026
US 191 & SR 264, GANADO, AZ 86505(928) 755-4500 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susai Benije Pannir Selvam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAI BENIJE PANNIR SELVAM (NPI 1396651063) is an individual student in an organized health care education/training program in Ganado, Arizona and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1396651063
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUSAI BENIJE PANNIR SELVAM
Location AddressUS 191 & SR 264Ganado, AZ 86505
Mailing Address38808 Florence WayFremont, CA 94536-7315 · (510) 516-8263
Phone(928) 755-4500
Sole ProprietorNo
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1396651063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
US 191 & SR 264, Ganado, AZ 86505
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KYLE LANCE HIBBERT O.D.
Optometrist
US 191 & SR 264
GANADO, AZ 86505
Apache County (928) 755-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susai Benije Pannir Selvam's NPI number?

The NPI number for Susai Benije Pannir Selvam is 1396651063. It was assigned to this individual provider in the NPPES registry on August 21, 2026.

Where is Susai Benije Pannir Selvam located?

Susai Benije Pannir Selvam practices at Us 191 & Sr 264, Ganado, AZ 86505. The listed phone number is (928) 755-4500.

What is Susai Benije Pannir Selvam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Susai Benije Pannir Selvam was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.