Individual
MR. KANDASWAMY JAYARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3440 FANNIN ST, BEAUMONT, TX 77701-3842
(409) 833-6900
(409) 833-6908
Mailing address
PO BOX 12499, BEAUMONT, TX 77726-2499
(409) 833-6900
(409) 833-6908
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L6963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168936601
—
TX
Enumeration date
07/09/2005
Last updated
08/31/2009
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