Individual
KENNEDY THIAGARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 CRAWFORD ST, SUITE 1700, HOUSTON, TX 77002-9000
(713) 802-1300
(713) 802-9107
Mailing address
2000 CRAWFORD ST, SUITE 1700, HOUSTON, TX 77002-9000
(713) 802-1300
(713) 802-9107
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J5651
TX
207RI0011X
Interventional Cardiology Physician
Primary
J5651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125031801
—
TX
Enumeration date
02/02/2006
Last updated
03/17/2015
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