Individual
DR. SAVITHA MANICKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14955 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-8728
(301) 990-3190
(401) 367-2021
Mailing address
14955 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-8728
(301) 990-3190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
234842
MA
207Q00000X
Family Medicine Physician
Primary
D79319
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155753
—
MA
Enumeration date
04/11/2008
Last updated
08/29/2023
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