Individual
POORNACHANDRAN MANIKANTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 MAIN ST STE 1300, SPRINGFIELD, MA 01103-6107
(413) 796-7494
(413) 796-7498
Mailing address
1350 MAIN ST STE 1300, SPRINGFIELD, MA 01103-6107
(413) 796-7494
(413) 796-7498
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
203609
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
203609
MA
Other
Enumeration date
10/27/2005
Last updated
08/22/2024
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