Individual
ADITYA MANOHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-0111
Mailing address
2550 E RIVER RD, UNIT 18204, TUCSON, AZ 85718-9500
(480) 234-5607
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R76030
AZ
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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