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Contact Information

THENU MANIKANTAN, MD
265 BENTON DR
STE 105
EAST LONGMEADOW, MA01028-3219
 Phone: 413-224-2727
 Fax: 413-224-2799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for THENU MANIKANTAN · (Female)

NPI Number 1366432668
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2005
Last updated 07/17/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 209825
Hospital affiliation(s) Not Available
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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