Dr. Manage Nissanka, M.D.
Psychiatry & Neurology, Psychiatry in South Windsor, CT. Individual provider (NPI-1).
NPI number1477535540
StatusActive
Last updated in NPPESAug 6, 2020
Details
- NPI
- 1477535540
- Entity type
- Individual (NPI-1)
- Name
- Dr. Manage Nissanka
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2005
- Certification date
- Aug 6, 2020
- Last updated
- Aug 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME135031 | FL | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 016539 | CT |
Practice location
127 Rosemary LnSouth Windsor, CT 06074-1563
Phone 860-916-2578
Mailing address
127 Rosemary LnSouth Windsor, CT 06074-1563
Phone 860-916-2578
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatry Physician providers in South Windsor, CT
- Alc PharmcareNPI 1174982730
- Peter Benet, M.D.NPI 1134230394
- Lori Calabrese, M.D.NPI 1770703712
- Innovative Tms LLCNPI 1114377454
All 5 Psychiatry Physician providers in South Windsor · All 638 providers in South Windsor
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.