Individual
PANKAJ MANOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5314 MARYLAND WAY SUITE 110, BRENTWOOD, TN 37027
(844) 291-4535
(615) 866-3643
Mailing address
5314 MARYLAND WAY SUITE 110, BRENTWOOD, TN 37027
(844) 291-4535
(615) 866-3643
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0063185
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
01/15/2016
Last updated
09/07/2021
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