Manaktala, Asha V

Manaktala, Asha V is an individual health care provider with primary practice located at 820C Prospect Hill Road , Windsor CT 06095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Manaktala, Asha V can be contacted via phone (860) 285-8251.

Contact Information

Primary practice address
820C Prospect Hill Road Windsor CT 06095
Phone: (860) 285-8251
Fax: (860) 687-1774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 024267 Connecticut

Profile Details

NPI number 1003883992
LBN Legal business name Manaktala, Asha V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003883992 NPPES
Connecticut MEDICAID 04058400
Connecticut Other 010024267CT02
Connecticut Other 020267

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