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Individual

DR. AJAYDAS THALAPPIL MANIKKAN

Active
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Individual

DR. AJAYDAS THALAPPIL MANIKKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-124189
IL
207R00000X
Internal Medicine Physician
Primary
73088
MN
208M00000X
Hospitalist Physician
036-124189
IL
208M00000X
Hospitalist Physician
059829
GA

Other

Enumeration date
05/01/2007
Last updated
04/13/2023
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