Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raj Manickam, MD

Individual provider Pediatrics Physician · NPI 1649200965

Raj Manickam, MD is a Pediatric Medicine in Crownsville, Maryland. Qualified in 1970, 56 years ago. Practices with Urgent Care Medicine, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
56
Licensed in
MD
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1350 Sweet Pea Path
Crownsville, MD 21032-2020
Phone: (410) 987-7375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence D0018398 (MD)

Record details

NPI number1649200965
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESMarch 18, 2013
Mailing address1350 Sweet Pea Path, Crownsville, MD 21032-2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice Urgent Care Medicine, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount