Kannan Manickam (NPI# 1023018074, PAC ID# 0345432662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1023018074 |
| PAC ID by PECOS | 0345432662 |
| Professional Enrollment ID | I20101005000999 |
| Full Name | Kannan Manickam |
| Organization Legal Name | CHESAPEAKE UROLOGY ASSOCIATES LLC |
| Address |
201 Plumtree Rd Suite 210 Bel Air MD 21015-6053 |
| Phone Number | 4108030089 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1996 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4789673393 |
| Number of Group Practice Members | 119 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210015 | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER |
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4360 | 4103916131 | CHESAPEAKE UROLOGY ASSOCIATES LLC |
| 201 Plumtree Rd, Suite 210, Bel Air, MD 21015-6053 | 4108030089 | CHESAPEAKE UROLOGY ASSOCIATES LLC |
| Organization Legal Name | CHESAPEAKE UROLOGY ASSOCIATES LLC |
| Physicians | 122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan L Kaplan | Urology | Chesapeake Urology Associates LLC | 3801 International Dr, Suite 310, Silver Spring, MD 20906-1550 |
| Hillary M Epstein | Pathology | Chesapeake Urology Associates LLC | 12200 Kiln Ct, Suite A, Beltsville, MD 20705-1324 |
| Ryan Christopher Cleary | Urology | Chesapeake Urology Associates LLC | 201 Plumtree Rd, Suite 210, Bel Air, MD 21015-6053 |
| Kathleen A Sterling | Urology | Chesapeake Urology Associates LLC | 6410 Rockledge Dr, Suite 503, Bethesda, MD 20817-7822 |
| Christopher D Maull | Urology | Chesapeake Urology Associates LLC | 1340 Middleford Rd, Suite 402, Seaford, DE 19973-3665 |
| Robert Brookland | Radiation Oncology | Chesapeake Urology Associates LLC | 2 Park Ctr Ct, Suite 2, Owings Mills, MD 21117-4295 |
| Michael J Ritmiller | Physician Assistant | Chesapeake Urology Associates LLC | 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5483 |
| Andrew C Kramer | Urology | Chesapeake Urology Associates LLC | 7580 Buckingham Blvd, Suite 100, Hanover, MD 21076-3181 |
| Brian Levin | Urology | Chesapeake Urology Associates LLC | 410 Malcolm Dr A, Westminster, MD 21157-6160 |
| Robert M Chiaramonte | Urology | Chesapeake Urology Associates LLC | 7704 Matapeake Bus Dr, Suite 310, Brandywine, MD 20613-3043 |
| Street Address |
201 PLUMTREE RD SUITE 210 |
| City | BEL AIR |
| State | MD |
| Zip | 21015-6053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Christopher Cleary | Urology | Chesapeake Urology Associates LLC | 201 Plumtree Rd, Suite 210, Bel Air, MD 21015-6053 |
| Gregory D Marchesiello | Physician Assistant | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Earl C Matthews | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Oluwaseun O Babalola | Diagnostic Radiology | Advanced Radiology Pa | 201 Plumtree Rd, Suite 101, Bel Air, MD 21015-6055 |
| Abigail Trader Schumacher | Physical Therapy | University of Maryland Medical Regional Professional Services, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| David F Dalury | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Kenneth W Defontes Iii | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Christina Lewis | Physical Therapy | University of Maryland Medical Regional Professional Services, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Shu Li | Diagnostic Radiology | Advanced Radiology Pa | 201 Plumtree Rd, Suite 101, Bel Air, MD 21015-6055 |
| Michael D Dabbah | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Maria Grillo | Optometry | 2511 Cool Spring Rd, Bel Air, MD 21015-1305 | |
| Brian Edward Evans | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| John Taylor | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Julie Anna Shahan | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Bryan M Dye | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Megan Nicole Osanitsch | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Stacey L Schorr | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Jennifer H Patrick | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Mariah L Buffington | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Meghann Kolibas | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Find all physicians in zip 21015 | |||
| City | BEL AIR |
| Zip Code | 21015 |
| Specialty | UROLOGY |
| City + Specialty | BEL AIR + UROLOGY |
Please comment or provide details below to improve the information on Kannan Manickam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.