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DR. EDAKANDYIL MANOHARAN MD
NPI 1033124995
Obstetrics & Gynecology in Big Stone Gap, VA

Active since July 29, 2006
1980 HOLTON AVE E, SUITE 301, BIG STONE GAP, VA 24219(276) 523-0390(276) 523-5514 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edakandyil Manoharan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDAKANDYIL MANOHARAN MD (NPI 1033124995) is an individual obstetrics & gynecology provider in Big Stone Gap, Virginia, licensed in Virginia (VA01011022988) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1033124995
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. EDAKANDYIL MANOHARANCredential: MD
Location Address1980 HOLTON AVE E, SUITE 301Big Stone Gap, VA 24219-3366
Mailing Address999 Executive Park Blvd, Suite 201Kingsport, TN 37660-4632 · (423) 224-3250 · Fax (423) 224-3258
Phone(276) 523-0390
Fax(276) 523-5514
Sole ProprietorNo
Enumeration DateJuly 29, 2006
Last NPPES UpdateMarch 10, 2008
✔ NPI 1033124995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · VA01011022988
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1980 HOLTON AVE E, Big Stone Gap, VA 24219
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Other Identifiers 3

Medicare PIN00W076W01VA
Medicare UPINB06714TN
Medicare PINP00205143VA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLMONT PHYSICIAN SERVICES INC
Obstetrics & Gynecology
1980 HOLTON AVE E, SUITE 301
BIG STONE GAP, VA 24219
Wise County (276) 523-0390
PULMONARY ASSOCIATES OF KINGSPORT
Specialist
1980 HOLTON AVE E, SUITE 202
BIG STONE GAP, VA 24219
Wise County (276) 523-8860
PROF. MICHAEL C VACCO MD
Pediatrics
1980 HOLTON AVE E, SUITE 203
BIG STONE GAP, VA 24219
Wise County (276) 523-8681
JOSEPH W FRYE II D.O.
Physical Medicine & Rehabilitation
1980 HOLTON AVE E, SUITE 202
BIG STONE GAP, VA 24219
Wise County (276) 523-8973
LAWRENCE J. FLEENOR JR
Family Medicine
1980 HOLTON AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-1600
WELLMONT PHYSICIAN SERVICES INC
Family Medicine
1980 HOLTON AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-8741
MARY MOORE CRNA
Nurse Anesthetist, Certified Registered
1980 HOLTON AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edakandyil Manoharan's NPI number?

The NPI number for Edakandyil Manoharan is 1033124995. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Edakandyil Manoharan located?

Edakandyil Manoharan practices at 1980 Holton Ave E Suite 301, Big Stone Gap, VA 24219. The listed phone number is (276) 523-0390.

What is Edakandyil Manoharan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Edakandyil Manoharan was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.