Individual
DR. SARAVANAKUMAR MANICKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-5867
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036172305
IL
207L00000X
Anesthesiology Physician
296525
NY
Other
Enumeration date
08/19/2014
Last updated
02/17/2025
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