Manikantan, Poornachandran
Manikantan, Poornachandran is an individual health care provider with primary practice located at 1350 Main St Ste 1300 , Springfield MA 01103-6107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Manikantan, Poornachandran can be contacted via phone (413) 796-7494.Contact Information
Primary practice address
1350 Main St Ste 1300
Springfield MA 01103-6107
Phone: (413) 796-7494
Fax: (413) 796-7498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 203609 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 203609 | Massachusetts |
Profile Details
| NPI number | 1003806308 |
|---|---|
| LBN Legal business name | Manikantan, Poornachandran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Aug 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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