# DR. MAYANKA TICKOO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669736765
- **Gender:** F
- **Credential:** M.D., M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 60511 | CT | — |
| 207RP1001X | Pulmonary Disease Physician | 265375 | MA | Yes |
| 207RP1001X | Pulmonary Disease Physician | 60511 | CT | — |

## Other

- **Enumeration date:** 07/03/2012
- **Last updated:** 05/12/2018