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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1972712743 | NPPES |
| Ohio | MEDICAID | 2875143 | |
| Ohio | Other | 4250173 |
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