Manikat, Reeves Varghese

Manikat, Reeves Varghese is an individual health care provider with primary practice located at 12165 Elm St , Princess Anne MD 21853-1358. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Manikat, Reeves Varghese can be contacted via phone (410) 651-5151.

Contact Information

Primary practice address
12165 Elm St Princess Anne MD 21853-1358
Fax: (410) 651-4256
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17039 Maryland

Profile Details

NPI number 1033764527
LBN Legal business name Manikat, Reeves Varghese
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2019
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033764527 NPPES
Maryland MEDICAID 119591300

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