Rajamanickam, Suresh

Rajamanickam, Suresh is an individual health care provider with primary practice located at 1395 S State Road 7 Suite350, Wellington FL 33414-9325. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy. Other Service Providers / Specialist is his primary health care specialty. Rajamanickam, Suresh can be contacted via phone (561) 793-3363.

Contact Information

Primary practice address
1395 S State Road 7 Suite350 Wellington FL 33414-9325
Phone: (561) 793-3363
Fax: (561) 793-3365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X S9977 Texas
Other Service Providers / Specialist 174400000X DR.0065508 Colorado
Allopathic & Osteopathic Physicians / Allergy 207KA0200X DR.0065508 Colorado
Other Service Providers / Specialist 174400000X 72337 Florida

Profile Details

NPI number 1356417919
LBN Legal business name Rajamanickam, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Mar 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356417919 NPPES
Florida MEDICAID 264775300

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