National Provider Identifier Database

ASHA V MANAKTALA, MD – NPI #1003883992
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

ASHA V MANAKTALA, MD
820C PROSPECT HILL ROAD
WINDSOR, CT06095
Phone: 860-285-8251
Fax: 860-687-1774
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for ASHA V MANAKTALA

NPI Number 1003883992
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 024267
  • CT Medicaid: 04058400
  • CT Other: 010024267CT02 ANTHEM BCBS
  • CT Other: 020267 CONNECTICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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