Healthcare Provider Details

I. General information

NPI: 1699460204
Provider Name (Legal Business Name): ARJUN MANN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 STORRS RD
MANSFIELD CENTER CT
06250-1683
US

IV. Provider business mailing address

76 QUAKER LN S
WEST HARTFORD CT
06119-1639
US

V. Phone/Fax

Practice location:
  • Phone: 860-456-1311
  • Fax:
Mailing address:
  • Phone: 559-905-8481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number84474
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: