Raj Manickam is a Pediatrics in Crownsville, Maryland. Raj Manickam practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Raj Manickam is 1649200965. The last update date is 2013-03-18.
Raj Manickam's current location address is 1350 Sweet Pea Path, Crownsville, Maryland. You can contact this provider via phone number 4109877375. The mailing address for Raj Manickam is 1350 Sweet Pea Path, Crownsville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raj Manickam |
|---|---|
| Address | 1350 Sweet Pea Path, Crownsville, Maryland |
| Phone Number | 4109877375 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649200965 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2013-03-18 |
Provider Mailing Address Detail
| Address | 1350 Sweet Pea Path |
|---|---|
| City | Crownsville |
| State | Maryland (MD) |
| Post Code | 210322020 |
| Phone Number | 4109877375 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | D0018398 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 960281000 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Raj Manickam by the Centers for Medicare & Medicaid Services?
The Raj Manickam has been issued the NPI (National Provider Identifier) 1649200965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Raj Manickam?
The Raj Manickam is situated at 1350 Sweet Pea Path, in the city of Crownsville, state of MD, with the zip code 210322020.
What is the Raj Manickam's specialty and taxonomy code?
The Raj Manickam's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did Raj Manickam receive its 1649200965 assignment from the Centers for Medicare & Medicaid Services?
The Raj Manickam was assigned its 1649200965 on 2006-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Raj Manickam's information last updated?
The Raj Manickam's information was last updated on 2013-03-18.