Individual
DR. ELIATHAMBY KUGANESWARAN
Active
Individual
DR. ELIATHAMBY KUGANESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036105345
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105345
—
IL
01
—
071696
HEALTH ALLIANCE
IL
01
—
07215152
BLUE CROSS
IL
01
—
100015542
RAILROAD MEDICARE
IL
01
—
371221637
FEDERAL TAX IDENTIFICATIO
IL
01
—
658303
HEALTHLINK
IL
01
—
776530
MEDICARE GROUP NUMBER
IL
01
—
7991429
AETNA HEALTH PLANS
IL
01
—
IL0117
JOHN DEERE
IL
Enumeration date
06/11/2006
Last updated
05/28/2009
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