Individual
DR. RAJA SEKHAR MANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 HAYNES ST STE 1209, MANCHESTER, CT 06040-4131
(860) 533-6595
(860) 533-6594
Mailing address
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076-4005
(860) 684-4251
(860) 684-8165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045540
CT
208M00000X
Hospitalist Physician
045540
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001455402
—
CT
01
—
110010327
MEDICARE PTAN
CT
Enumeration date
08/31/2006
Last updated
01/22/2015
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