Premalata Manickam, M.D.
NPI #1154353654 in Fontana, California
Provider Information
- NPI Number
- 1154353654
- Entity Type
- Individual
- Name
- Premalata Manickam, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pediatrics
- Credential
- M.D.
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Oct 13, 2021
Practice Location
- Address
- 9985 SIERRA AVE
- Address 2
- KAISER PERMANENTE, MOB 2B
- City
- Fontana
- State
- California
- ZIP Code
- 92335-6720
- Phone
- (909) 427-5993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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