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NPI Verification

National Provider Identifier: 1609060466

Buvana Manickam, M.d

Individual Provider

Credentials

M.D

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (3)

Specialist

Code: 174400000X

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

7500 FRANCE AVE S

EDINA, MN 554353400

Phone: 952-835-1311

NPI Enumeration Date

September 4, 2007

NPI Number

1609060466

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry