Dr Edakandyil Manoharan, MD in Big Stone Gap, VA - Obstetrics & Gynecology

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.

Contact Information

	Dr Edakandyil Manoharan, MD
	1980 Holton Ave E, Suite 301, Big Stone Gap, VA 24219-3366
	(276) 523-0390
	(276) 523-5514

Physician's Profile

Full Name	Dr Edakandyil Manoharan
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1980 Holton Ave E, Big Stone Gap, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

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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Dr Edakandyil Manoharan, MD - Obstetrics & Gynecology in Big Stone Gap, VA