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Search › Maryland › 208800000X

Kannan Manickam, MD

NPI 1023018074 · on the registry since 2005

Practice

Address
6820 Hospital Dr
Suite 210
Baltimore, MD 21237
Phone
(410) 391-6131
Fax
(410) 391-6144
Organisation at this address
Asc Development Company, Llc
Center For Pain Management Llc
Center For Pain Management,Llc
Chesapeake Urology Associates, Llc
Summit Ambulatory Surgical Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland