Individual
MANOHARAN NACHIYAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 N MAIN ST STE 210, BRISTOL, CT 06010-8122
(860) 314-2052
(860) 314-2054
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
018752
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001187525
—
CT
Enumeration date
10/14/2005
Last updated
02/28/2011
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