Karthickrajkumar Kariamanickam
Student in an Organized Health Care Education/Training Program in Bronx, NY. Individual provider (NPI-1).
NPI number1164094397
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1164094397
- Entity type
- Individual (NPI-1)
- Name
- Karthickrajkumar Kariamanickam
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2021
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 207R00000X | Internal Medicine | 48353 | TX |
Practice location
1650 Grand ConcourseBronx, NY 10457-7606
Phone 718-590-1800
Mailing address
1650 Grand ConcourseBronx, NY 10457-7606
Phone 718-590-1800
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