Most Relevant Information
Provider Data
| NPI Number: | 1003806308 |
| Provider Name: | POORNACHANDRAN MANIKANTAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 203609 |
Most Important Dates
| Enumeration Date: | 10/27/2005 |
| Last Updated: | 08/22/2024 |
Provider Practice Location
1350 MAIN ST STE 1300
SPRINGFIELD
MA
011036107
Practice Location Phone/Fax
| Phone: | 4137967494 |
| Fax: | 4137967498 |
Provider Mailing Location
1350 MAIN ST STE 1300
SPRINGFIELD
MA
011036107
Provider Mailing Phone/Fax
| Phone: | 4137967494 |
| Fax: | 4137967498 |