Healthcare Provider Details

I. General information

NPI: 1588286801
Provider Name (Legal Business Name): MANUSH OHANYAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE DANBURY HOSPITAL
DANBURY CT
06810-6099
US

IV. Provider business mailing address

24 HOSPITAL AVE DANBURY HOSPITAL
DANBURY CT
06810-6099
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-8105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number74961
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number74961
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: