Jegatheesan, Priya

Jegatheesan, Priya is an individual health care provider with primary practice located at 751 S Bascom Ave Neonatology Dept, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Jegatheesan, Priya can be contacted via phone (408) 885-5405.

Contact Information

Primary practice address
751 S Bascom Ave Neonatology Dept San Jose CA 95128-2604
Phone: (408) 885-5405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A78135 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A78135 California

Profile Details

NPI number 1336238575
LBN Legal business name Jegatheesan, Priya
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336238575 NPPES
California MEDICAID 00A781350

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