Manickam, Kandamurugu

Manickam, Kandamurugu is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Manickam, Kandamurugu can be contacted via phone (614) 722-3538.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-3538
Fax: (614) 722-3546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 35-092399 Ohio

Profile Details

NPI number 1972712743
LBN Legal business name Manickam, Kandamurugu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Mar 11th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972712743 NPPES
Ohio MEDICAID 2875143
Ohio Other 4250173

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