Individual
JAMUNA THEVENTHIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215
(718) 780-3000
Mailing address
28 BRIGHAM LN, PORTSMOUTH, NH 03801-8431
(646) 750-5407
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
15972
NH
2084P0800X
Psychiatry Physician
Primary
265380
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2010
Last updated
09/11/2019
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