Kannan Manickam, MD
Kannan Manickam, MD is an Urology in Baltimore, Maryland. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1996, 30 years ago. Practices with Chesapeake Urology Associates LLC, a 160-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.
- Years since qualifying
- 30
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- IN
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6820 Hospital Dr Ste 210Baltimore, MD 21237-4352
Phone: (410) 391-6131
Fax: (410) 391-6144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 01056563A (IN) |
|---|
Record details
| NPI number | 1023018074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 29, 2005 |
| Last updated in NPPES | May 30, 2025 |
| Certification date | May 30, 2025 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 1996 (30 years in practice) |
| Group practice | Chesapeake Urology Associates Llc — 160 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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