Individual
JAYANTH MANOHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2424 N WYATT DR STE 100, TUCSON, AZ 85712-6119
(520) 324-8621
(520) 324-3935
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-2308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
60928
AZ
Other
Enumeration date
04/07/2014
Last updated
07/27/2023
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