IndividualActive
Periakaruppan Manickam, MD
NPI 1609261395 · Neuroradiology Physician · Columbus, OH
Provider details
- NPI number
- 1609261395
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 390200000X (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
395 W 12th Ave Fl 4
Columbus, OH 43210-1267
Phone: (614) 293-8315
Fax: (614) 293-6935
Approximate (ZIP-level) locationGet directions
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Additional practice locations (1)
- 300 Pasteur DrStanford, CA 94305-2200Phone: (650) 723-4000
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2025-05-23
- Certified
- 2025-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.