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DR. EDAKANDYIL MANOHARAN MD NPI 1033124995


NPI Information

NPI: 1033124995
Provider Name: DR. EDAKANDYIL MANOHARAN, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1980 HOLTON AVE E
SUITE 301
BIG STONE GAP, VA
ZIP 24219
Phone: (276) 523-0390
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DR. Edakandyil Manoharan, MD is an obstetrics gynecology in Big Stone Gap, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Edakandyil Manoharan, MD NPI is 1033124995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1980 HOLTON AVE E
SUITE 301
BIG STONE GAP, VA
ZIP 24219-366
Phone: (276) 523-0390
Fax: (276) 523-5514

The enumeration date for this NPI number is 7/29/2006 and was last updated on 3/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyVA01011022988VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100W076W01MEDICARE PINVIRGINIA
2B06714MEDICARE UPINTENNESSEE
3P00205143MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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