Chitra Manickam
Internist Rheumatology
20200 54th Ave W
Lynnwood
, Washington 98036-6318
Chitra Manickam
Internist Rheumatology
20200 54th Ave W
Lynnwood
, Washington 98036-6318
(425) 672-6400
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About
Features
Specialties
- Internist
- Rheumatology
Languages spoken
- English
Location
First Address
- Chitra Manickam
- 20200 54th Ave W
- Lynnwood, WA
- Zip : 98036-6318
- Phone : (425) 672-6400
Second Address
- Chitra Manickam
- 20200 54th Ave W
- Lynnwood, WA
- Zip : 98036-6318
- Phone : (425) 672-6400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD60330571 | WA |
| N | 111NI0900X | Internist | MD60330571 | WA |
| Y | 207RR0500X | Rheumatology | 35.098192 | OH |
National Provider Identifier
| NPI | 1114215175 |
|---|---|
| Provider Name | Chitra Manickam |
| First Address | Lynnwood, WA 98036-6318 |
| Second Address | Lynnwood, WA 98036-6318 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2011 |
| Last Update Date | 27/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.