Kannan Manickam
Urologist
6820 Hospital Dr Suite 210
Baltimore
, Maryland 21237-4352
(443) 738-2713
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About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Urologist
Languages spoken
- English
Location
First Address
- Kannan Manickam
- 25 Crossroads Dr Ste 306
- Owings Mills, MD
- Zip : 21117-5421
- Fax : (443) 738-2713
- Phone : (443) 738-2889
Second Address
- Kannan Manickam
- 6820 Hospital Dr Suite 210
- Baltimore, MD
- Zip : 21237-4352
- Fax : (410) 391-6144
- Phone : (410) 391-6131
Reviews
FAQs
Where did Kannan Manickam attend graduate school?
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Where did Kannan Manickam do his residency?
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Where did Kannan Manickam do his fellowship?
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Is Kannan Manickam board certified?
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What type of doctor is Kannan Manickam
Urologist
In what state does Kannan Manickam practice in?
Maryland
Where is Kannan Manickam ’s practice located?
6820 Hospital Dr Suite 210 , Baltimore, Maryland, 21237-4352
What is Kannan Manickam ’s gender?
Male
Is Kannan Manickam a sole practitioner?
No
Is Kannan Manickam accepting new patients?
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What languages does Kannan Manickam speak?
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Does Kannan Manickam accept insurance?
Yes, Kannan Manickam accepts insurance
Does Kannan Manickam offers telemedicine?
Kannan Manickam has not indicated if he offers telemedicine
What is Kannan Manickam ’s professional license number?
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What is Kannan Manickam ’s NPI number?
1023018074
Does Kannan Manickam have any license restrictions?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208800000X | Urologist | 01056563A | IN |
National Provider Identifier
| NPI | 1023018074 |
|---|---|
| Provider Name | Kannan Manickam |
| First Address | Owings Mills, MD 21117-5421 |
| Second Address | Baltimore, MD 21237-4352 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 23/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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)
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?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.