Individual
MANANYA MALLIKAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14999 HEALTH CENTER DR, BOWIE, MD 20716-1074
(443) 332-4088
(410) 793-0809
Mailing address
PO BOX 6687, ANNAPOLIS, MD 21401-0687
(410) 263-6638
(410) 268-6830
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D23393
MD
Other
Enumeration date
08/12/2006
Last updated
01/04/2008
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