Individual
ASHAN MANOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20486 MARKET STREET, ONANCOCK, VA 23417
(757) 302-2700
(757) 787-9262
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101058609
VA
207RG0100X
Gastroenterology Physician
037701
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010037701CT01
ANTHEM BCBS CT
CT
01
—
037701
CONNECTICARE
CT
01
—
0V6836
HEALTHNET NE
CT
01
—
2543604
AETNA HMO
CT
01
—
7122039
AETNA PPO
CT
01
—
P1992625
OXFORD
CT
Enumeration date
10/25/2005
Last updated
03/23/2020
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