Individual
GAYATHRI N MANICKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 CONNER ST, DETROIT, MI 48215-2201
(313) 823-9800
Mailing address
2852 BIRCHDALE DR, TROY, MI 48083-6809
(720) 771-7792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301085440
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301085440
MI
Other
Enumeration date
05/23/2007
Last updated
11/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us