Krishnamurthy, Manickam

Krishnamurthy, Manickam is an individual health care provider with primary practice located at 651 Dunlop Ln , Clarksville TN 37040-5015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Krishnamurthy, Manickam can be contacted via phone (931) 502-1370.

Contact Information

Primary practice address
651 Dunlop Ln Clarksville TN 37040-5015
Phone: (931) 502-1370
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 42882 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42882 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39352 Tennessee

Profile Details

NPI number 1134175987
LBN Legal business name Krishnamurthy, Manickam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134175987 NPPES
Tennessee Other 4151444 BLUE CROSS
Tennessee Other 40586 BLUE CROSS
Tennessee Other P00254465 BLUE CROSS
Tennessee MEDICAID 3328234 BLUE CROSS
Tennessee MEDICAID 3328235 BLUE CROSS
Tennessee Other 4105319 BLUE CROSS

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