BENNY ILLICKAL
NPI 1740682673
Radiology - Diagnostic Radiology in Sunnyvale, TX

Active since September 23, 2014
291 STONE MOUNTAIN DR, SUNNYVALE, TX 75182(972) 352-7260 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benny Illickal NPPES

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

BENNY ILLICKAL (NPI 1740682673) is an individual diagnostic radiology provider in Sunnyvale, Texas, licensed in Texas (R37333) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1740682673
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBENNY ILLICKAL
Location Address291 STONE MOUNTAIN DRSunnyvale, TX 75182-2655
Mailing Address291 Stone Mountain DrSunnyvale, TX 75182-2655 · (972) 352-7260
Sole ProprietorNo
Enumeration DateSeptember 23, 2014
NPI 1740682673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · R37333
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
291 STONE MOUNTAIN DR, Sunnyvale, TX 75182

Other Identifiers 1

Other45-4629141TX · Ein

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 Benny Illickal's NPI number?

The NPI number for Benny Illickal is 1740682673. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Benny Illickal located?

Benny Illickal practices at 291 Stone Mountain Dr, Sunnyvale, TX 75182. The listed phone number is (972) 352-7260.

What is Benny Illickal's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Benny Illickal was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.