Poornachandran Manikantan MD

NPI 1003806308 - Anesthesiology - 207LP2900X

NPI Details
NPI 1003806308
Gender Male
Enumeration Date 10/27/2005
Last Updated 06/05/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
908 ALLEN ST
SPRINGFIELD MA, 01118-2533, US
Phone (413) 796-7494
Fax (413) 796-7498
Business Location
908 ALLEN ST
SPRINGFIELD MA, 01118-2533, US
Phone (413) 796-7494
Fax (413) 796-7498
Toxanomy
Taxonomy Code 207LP2900X
License State Massachusetts
License Number 203609
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According to our database, Poornachandran Manikantan MD NPI is 1003806308, taxonomy code is 207LP2900X and license number is 203609, license state is located at Massachusetts. Poornachandran Manikantan MD physically located at 908 Allen St, Springfield MA, 01118-2533. NPI Number Poornachandran Manikantan MD has the Individual type.

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1003806308 NPI number is provided on an as is basis without warranty of any kind. 1003806308 is maintained by the National Plan & Provider Enumeration System. The contents of Poornachandran Manikantan MD are for informational purposes only.