Individual
MANICKAM KUMARAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N3804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177263401
—
TX
01
—
177263402
CSHCN
TX
01
—
8S7134
BCBS
TX
Enumeration date
06/07/2006
Last updated
08/17/2023
Update your record
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