Individual provider · Type 1 NPI

Periakaruppan Vairavan Manickam, MD

Neuroradiology Physician · Columbus, OH

NPI number 1609261395 Active

Practice location

395 W 12th Ave Fl 4
Columbus, OH 43210-1267

Call (614) 293-8315 Map

Fax (614) 293-6935

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Other practice locations

  • 300 Pasteur Dr, Stanford, CA 94305-2200 · (650) 723-4000

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X390200000X (PA)
Diagnostic Radiology Physician 2085R0202XA188792 (CA)
Neuroradiology Physician Primary 2085N0700X35.152863 (OH)

Neuroradiology Physician: 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.

37 other providers at this address

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About NPI 1609261395

Periakaruppan Vairavan Manickam, MD's National Provider Identifier is 1609261395, issued on Mar 31, 2015. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Columbus, OH. The record was last updated on May 23, 2025.