Dr Edakandyil Manoharan, MD is a
Obstetrics & Gynecology physician based in Big Stone Gap, Virginia. Dr Edakandyil Manoharan is licensed to practice in Virginia (license number VA01011022988) and his current practice location is 1980 Holton Ave E, Suite 301, Big Stone Gap, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 523-0390.
NPI number for Dr Edakandyil Manoharan is 1033124995 and his current mailing address is 999 Executive Park Blvd, Suite 201, Kingsport, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033124995.
Physician's Profile
| Full Name | Dr Edakandyil Manoharan |
|---|
| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1980 Holton Ave E, Big Stone Gap, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033124995
- Provider Enumeration Date: 07/29/2006
- Last Update Date: 03/10/2008
Medical Identifiers
Medical identifiers for Dr Edakandyil Manoharan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033124995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | VA01011022988 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edakandyil Manoharan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edakandyil Manoharan, MD
999 Executive Park Blvd, Suite 201,
Kingsport, TN 37660-4632
Ph: (423) 224-3250 | Dr Edakandyil Manoharan, MD
1980 Holton Ave E, Suite 301,
Big Stone Gap, VA 24219-3366
Ph: (276) 523-0390 |
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