Sudhir Manickavel, MD

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

A194289 Issued in CA

Practice address

1245 Wilshire Blvd
Los Angeles, CA 90017-4810

Phone

(213) 483-9930

NPI assigned

Apr 3, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1841752318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18006 BLACK GOLD WAY",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208416000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-483-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANICKAVEL",
        "first_name": "SUDHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "A194289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Marie Mangione, MD
• Inah Marie Mango
• Cynthia Manguba, PSY.D.
• Sonia Narendra Maniar, DPT
• Monica Manibusan, LMFT
• Justine Frances Manigault
• Manii Management
• David J Manila, RADT 1
• Raquel Manini
• Jenny Manipon

• Otology & Neurotology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Otology & Neurotology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.