CONRAD C MANAYAN DO NPI 1902811656

NPI Information

  • NPI: 1902811656
  • Provider Name: CONRAD C MANAYAN, DO
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3525 GEORGE BUSBEE PKWY NW STE 101
    KENNESAW, GA
    ZIP 30144
  • Phone: (800) 991-6117

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NPI Details

Conrad C Manayan, DO is a surgery in Kennesaw, GA with 35 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Conrad C Manayan, DO NPI is 1902811656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:1991

The provider's business location address is:

3525 GEORGE BUSBEE PKWY NW STE 101
KENNESAW, GA
ZIP 30144
Phone: (800) 991-6117

The NPI 1902811656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 2/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202K00000XPhlebology98137GEORGIANo
2208600000XSurgery1300TENNESSEENo
3208600000XSurgery0480ALABAMANo
4208600000XSurgery98137GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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