Jegathesan, Kanagaratnam
Jegathesan, Kanagaratnam is an individual health care provider with primary practice located at 2271 East Main Street , Waterbury CT 06705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jegathesan, Kanagaratnam can be contacted via phone (203) 753-4131.Contact Information
Primary practice address
2271 East Main Street
Waterbury CT 06705
Phone: (203) 753-4131
Fax: (203) 753-6887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17004 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 170040 | Connecticut |
Profile Details
| NPI number | 1497859409 |
|---|---|
| LBN Legal business name | Jegathesan, Kanagaratnam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Mar 8th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497859409 | NPPES |
| Connecticut | Other | 0R1848 | HEALTH NET |
| Connecticut | MEDICAID | 001170042 | HEALTH NET |
| Connecticut | Other | 010017004CT01 | HEALTH NET |
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