Raj Manickam MD

NPI 1649200965 - Pediatrics - 208000000X

NPI Details
NPI 1649200965
Gender Male
Enumeration Date 07/03/2006
Last Updated 03/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1350 SWEET PEA PATH
CROWNSVILLE MD, 21032-2020, US
Phone (410) 987-7375
Fax
Business Location
1350 SWEET PEA PATH
CROWNSVILLE MD, 21032-2020, US
Phone (410) 987-7375
Fax
Toxanomy
Taxonomy Code 208000000X
License State Maryland
License Number D0018398
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According to our database, Raj Manickam MD NPI is 1649200965, taxonomy code is 208000000X and license number is D0018398, license state is located at Maryland. Raj Manickam MD physically located at 1350 Sweet Pea Path, Crownsville MD, 21032-2020. NPI Number Raj Manickam MD has the Individual type.

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1649200965 NPI number is provided on an as is basis without warranty of any kind. 1649200965 is maintained by the National Plan & Provider Enumeration System. The contents of Raj Manickam MD are for informational purposes only.