Individual provider · Type 1 NPI

Kannan Manickam, MD

Urology Physician · Baltimore, MD

NPI number 1023018074 Active

Practice location

6820 Hospital Dr, Suite 210
Baltimore, MD 21237-4352

Call (410) 391-6131 Map

Fax (410) 391-6144

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X01056563A (IN)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1023018074

Kannan Manickam, MD's National Provider Identifier is 1023018074, issued on Jul 29, 2005. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Baltimore, MD. The record was last updated on May 30, 2025.