Raj Manickam
MD | Pediatrics | Male
Raj Manickam, MD is a Crownsville, Maryland based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Raj Manickam is
1350 Sweet Pea Path, Crownsville, Maryland - 21032-2020. He can be contacted on phone at
410-987-7375.
Raj Manickam is a sole proprietor of his business.
NPI number (Unique professional ID) for Raj Manickam is
1649200965 which was assigned by NPPES on 03 Jul, 2006 and it was last updated on 18 Mar, 2013.
Raj Manickam license number is
D0018398 for Pediatrics (208000000X) in Maryland.
Raj Manickam is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Raj Manickam basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Raj Manickam |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Raj Manickam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1350 Sweet Pea Path
Crownsville, MD, 21032-2020
United States |
|---|
| Phone Number : | 410-987-7375 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649200965 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 Jul, 2006 |
|---|
| Last Updated On : | 18 Mar, 2013 |
|---|
Medicare Participation:
Raj Manickam participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6709832215 |
|---|
| Medicare Enrollment ID : | I20050329000092 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Other |
|---|
| Graduation Year : | 1970 |
|---|
| Accepts Medicare? | Yes. Raj Manickam accepts medicare insurance. |
|---|
Group Practice Association:
Raj Manickam is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Raj Manickam is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Urgent Care Medicine, Llc | 2163698101 | 6 | 3059 Solomons Island Rd
F 2
Edgewater, MD - 210371433
Ph: 4109563394 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raj Manickam are as mentioned. Primary taxonomy code for Raj Manickam, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | D0018398 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Raj Manickam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 960281000 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1350 Sweet Pea Path
Crownsville, MD, 21032-2020
United States |
|---|
| Phone Number : | 410-987-7375 |
|---|
Business Location:
Patients can refer following map for directions to
Raj Manickam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.