Manickam, Gayathri N

Manickam, Gayathri N is an individual health care provider with primary practice located at 4401 Conner St , Detroit MI 48215-2201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Manickam, Gayathri N can be contacted via phone (313) 823-9800.

Contact Information

Primary practice address
4401 Conner St Detroit MI 48215-2201
Phone: (313) 823-9800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301085440 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301085440 Michigan

Profile Details

NPI number 1932319753
LBN Legal business name Manickam, Gayathri N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Nov 3rd, 2023 - about 2 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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