GAYATHRI MANICKAM, M.D.

Family Medicine - Sports Medicine

Active Individual
NPI: 1932319753

Practice Address

4401 CONNER ST
Detroit, MI 48215

Phone: (313) 823-9800

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 4301085440 (MI)
Family Medicine - Sports Medicine 207QS0010X Yes 4301085440 (MI)

Frequently Asked Questions

NPI 1932319753 is the National Provider Identifier for GAYATHRI MANICKAM, M.D., a Family Medicine - Sports Medicine provider located in Detroit, MI. This NPI was enumerated on May 23, 2007.
GAYATHRI MANICKAM, M.D. practices at 4401 CONNER ST, Detroit, MI 48215.

Quick Facts

NPI
1932319753
Type
Individual
Enumerated
May 23, 2007
Last Updated
Nov 3, 2023

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