Active NPIIndividual provider

Poornachandran Manikantan, MD

Anesthesiology, Pain Medicine in Springfield, Massachusetts

NPI Number1003806308
Practice location
1350 Main St Ste 1300, Springfield, MA 01103-6107
Fax
413-796-7498
Last updated
August 22, 2024

Poornachandran Manikantan is an Anesthesiology, Pain Medicine based in Springfield, MA. Poornachandran Manikantan practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Poornachandran Manikantan is 1003806308 and holds a License No. 203609 (MA). The current practice location address for Poornachandran Manikantan is 1350 Main St Ste 1300, Springfield, MA 01103-6107 and can be reached out via phone at 413-796-7494 and via fax at 413-796-7498.

Provider Profile Details

NPI Number
1003806308
Provider Name
Poornachandran Manikantan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1350 Main St Ste 1300, Springfield, MA 01103-6107
Phone Number
413-796-7494
Fax Number
413-796-7498
Primary Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X
Sole Proprietor
No
Provider Enumeration Date
October 27, 2005
Last Update Date
August 22, 2024
Certification Date
August 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1350 Main St Ste 1300
Springfield, MA 01103-6107
Zip
01103-6107
Phone Number
413-796-7494
Fax Number
413-796-7498
Springfield, MA 01103Get directions →

Provider Business Mailing Address Details

Address
1350 Main St Ste 1300
Springfield, MA 01103-6107
City
Springfield
State
MA
Zip
01103-6107
Phone Number
413-796-7494
Fax Number
413-796-7498

License Information

License Number (1)
203609
License State (1)
MA
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
203609
License State (2)
MA
Taxonomy (2)
Anesthesiology, Pain Medicine · 207LP2900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Poornachandran Manikantan, MD?

The NPI number of Poornachandran Manikantan, MD is 1003806308. It was assigned on October 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Poornachandran Manikantan, MD?

Poornachandran Manikantan, MD is registered under the primary taxonomy Anesthesiology, Pain Medicine (code 207LP2900X), licensed in MA under license number 203609.

Where does Poornachandran Manikantan, MD practice?

The practice location is 1350 Main St Ste 1300, Springfield, MA 01103-6107. The office can be reached at 413-796-7494 (phone) or 413-796-7498 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003806308 directly on the NPPES registry website.

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