Individual
DR. MALIKA MANYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1860 TOWN CENTER DR STE 340, RESTON, VA 20190-5912
(703) 943-7475
Mailing address
PO BOX 2695, RESTON, VA 20195-0695
(703) 943-7475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101251555
VA
208M00000X
Hospitalist Physician
0101251555
VA
208M00000X
Hospitalist Physician
52199
TN
208M00000X
Hospitalist Physician
MD22981
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013148576
—
ME
05
—
1013148576
—
VA
Enumeration date
08/01/2009
Last updated
05/08/2026
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