Poornachandran Manikantan
Anesthesiologist
908 Allen St
Springfield
, Massachusetts 01118-2533
Poornachandran Manikantan
Anesthesiologist
908 Allen St
Springfield
, Massachusetts 01118-2533
(413) 796-7498
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Poornachandran Manikantan
- 908 Allen St
- Springfield, MA
- Zip : 01118-2533
- Fax : (413) 796-7498
- Phone : (413) 796-7494
Second Address
- Poornachandran Manikantan
- 908 Allen St
- Springfield, MA
- Zip : 01118-2533
- Fax : (413) 796-7498
- Phone : (413) 796-7494
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 203609 | MA |
National Provider Identifier
| NPI | 1003806308 |
|---|---|
| Provider Name | Poornachandran Manikantan |
| First Address | Springfield, MA 01118-2533 |
| Second Address | Springfield, MA 01118-2533 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2005 |
| Last Update Date | 05/06/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.