Individual
DR. MANIKANDAN SERALATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(860) 306-0898
Mailing address
271 CAREW ST, MIMS HOSPITALIST SERVICE, SPRINGFIELD, MA 01104-2377
(413) 748-9349
(413) 452-6080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
292140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110187498A
—
MA
Enumeration date
06/25/2019
Last updated
08/12/2022
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