CHITRA MANICKAM MD NPI 1114215175

NPI Information

NPI: 1114215175
Provider Name: CHITRA MANICKAM, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Organization: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON

PECOS Registration: Yes

Address:
20200 54TH AVE W
LYNNWOOD, WA
ZIP 98036
Phone: (425) 672-6400
Get Directions

Chitra Manickam, MD is a rheumatology internal medicine in Lynnwood, WA with 25 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Chitra Manickam, MD NPI is 1114215175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20200 54TH AVE W
LYNNWOOD, WA
ZIP 98036-318
Phone: (425) 672-6400

The NPI 1114215175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2011 and was last updated on 4/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD60330571	WASHINGTON	No
2	207RR0500X	Internal Medicine	Rheumatology	35.098192	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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