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1023342938
NISHA THANNIKKARY MANICKAM
RALEIGH, NC
NPI
1023342938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: NC 2012-00503)
Enumeration Date
2009-09-24
Last Update Date
2023-10-31
Business Address
Dr. NISHA THANNIKKARY MANICKAM DO
2304 WESVILL CT
RALEIGH, NC 27607-0058
Phone number: 919-571-1567
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Mailing Address
Dr. NISHA THANNIKKARY MANICKAM DO
PO BOX 603949
CHARLOTTE, NC 28260-3949
Phone number: 919-350-8000
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