PERIAKARUPPAN VAIRAVAN MANICKAM MD NPI 1609261395

NPI Information

  • NPI: 1609261395
  • Provider Name: PERIAKARUPPAN VAIRAVAN MANICKAM, MD
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 395 W 12TH AVE FL 4
    COLUMBUS, OH
    ZIP 43210
  • Phone: (614) 293-8315

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NPI Details

Periakaruppan Vairavan Manickam, MD is a neuroradiology radiology in Columbus, OH with 12 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Periakaruppan Vairavan Manickam, MD NPI is 1609261395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

395 W 12TH AVE FL 4
COLUMBUS, OH
ZIP 43210-267
Phone: (614) 293-8315
Fax: (614) 293-6935

The NPI 1609261395 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 3/31/2015 and was last updated on 5/23/2025.

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
1207Y00000XOtolaryngology390200000XPENNSYLVANIANo
22085R0202XRadiologyDiagnostic RadiologyA188792CALIFORNIANo
32085N0700XRadiologyNeuroradiology35.152863OHIOYes

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: 11/21/2025

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