Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAYATHRI N MANICKAM, M.D.
ActiveGAYATHRI N MANICKAM, M.D. is a Sports Medicine healthcare provider located in DETROIT, Michigan. NPI 1932319753 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · DETROIT, MI
Registration Details
- NPI Number
- 1932319753
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2007 (19.197738603581 yrs)
- Last Updated
- Nov 3, 2023
- Licenses
-
4301085440 (MI)4301085440 (MI)
Practice Information
- Address
-
4401 CONNER STDETROIT, MI, 482152201Browse MI providers · Browse ZIP 48215
- Phone
- 3138239800
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW K. CUNNINGHAM | M.D. | 1508206681 |
| ROBERT ANTHONY EDWARD ALBERS JR. | D.O. | 1427462639 |
| JULIANA MARY MOLOSKY | MD | 1083234496 |
| DR. MICHAEL DAVID PEARL | DO | 1104492560 |
| DR. KENERA COLLEY | DO | 1194468801 |
| MOUSTAFA S BAZZI | MD | 1265176747 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.