Individual
PERIAKARUPPAN VAIRAVAN MANICKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 293-8315
(614) 293-6935
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8315
(614) 293-6935
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
390200000X
PA
2085N0700X
Neuroradiology Physician
Primary
35.152863
OH
2085R0202X
Diagnostic Radiology Physician
A188792
CA
Other
Enumeration date
03/31/2015
Last updated
05/23/2025
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