Raj Manickam, MD is a medicare enrolled "Pediatrics" physician in Crownsville, Maryland. His current practice location is
1350 Sweet Pea Path, Crownsville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 987-7375.
Raj Manickam is licensed to practice in Maryland (license number D0018398) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649200965.
Physician's Profile
Full Name | Raj Manickam |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1350 Sweet Pea Path, Crownsville, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Raj Manickam attended and graduated from in
NPI Data:
- NPI Number: 1649200965
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 03/18/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Raj Manickam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649200965 | NPI | - | NPPES |
960281000 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D0018398 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raj Manickam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Raj Manickam, MD 1350 Sweet Pea Path, Crownsville, MD 21032-2020 Ph: (410) 987-7375 | Raj Manickam, MD 1350 Sweet Pea Path, Crownsville, MD 21032-2020 Ph: (410) 987-7375 |
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