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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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