Individual
DR. NISHA THANNIKKARY MANICKAM
Active
Individual
DR. NISHA THANNIKKARY MANICKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2012-00503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921923
—
NC
Enumeration date
09/24/2009
Last updated
12/30/2024
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