Individual
REENA MANIKKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 281-5546
(804) 289-4954
Mailing address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 281-5546
(804) 289-4954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101244034
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018706
VA
Other
Enumeration date
05/18/2007
Last updated
07/01/2020
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