Individual
PRADEEP MANOHARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 NORTH ST, PITTSFIELD, MA 01201-4147
(413) 447-2114
Mailing address
777 NORTH ST, PITTSFIELD, MA 01201-4147
(413) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
290652
MA
Other
Enumeration date
07/20/2015
Last updated
08/19/2022
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