Kandaraj, Jeyakumar
Kandaraj, Jeyakumar is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kandaraj, Jeyakumar can be contacted via phone (920) 738-2000.Contact Information
Primary practice address
1506 S Oneida St
Appleton WI 54915-1305
Phone: (920) 738-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40762 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 40762 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16947 | New Hampshire |
Profile Details
| NPI number | 1306830104 |
|---|---|
| LBN Legal business name | Kandaraj, Jeyakumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jan 11th, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306830104 | NPPES |
| Wisconsin | MEDICAID | 32599100 |
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