Edakandyil Manoharan MD

NPI 1033124995 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1033124995
Gender Male
Enumeration Date 07/29/2006
Last Updated 03/10/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1980 HOLTON AVE E
SUITE 301
BIG STONE GAP VA, 24219-3366, US
Phone (276) 523-0390
Fax (276) 523-5514
Business Location
999 EXECUTIVE PARK BLVD
SUITE 201
KINGSPORT TN, 37660-4632, US
Phone (423) 224-3250
Fax (423) 224-3258
Toxanomy
Taxonomy Code 207V00000X
License State Virginia
License Number VA01011022988
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According to our database, Dr. Edakandyil Manoharan MD NPI is 1033124995, taxonomy code is 207V00000X and license number is VA01011022988, license state is located at Virginia. Edakandyil Manoharan MD physically located at 1980 Holton Ave E, Big Stone Gap VA, 24219-3366. NPI Number Edakandyil Manoharan MD has the Individual type.

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1033124995 NPI number is provided on an as is basis without warranty of any kind. 1033124995 is maintained by the National Plan & Provider Enumeration System. The contents of Edakandyil Manoharan MD are for informational purposes only.