Individual
MR. KANAGARATNAM JEGATHESAN
Active
Individual
MR. KANAGARATNAM JEGATHESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17004
CT
207RP1001X
Pulmonary Disease Physician
170040
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001170042
—
CT
01
—
010017004CT01
BCBS
CT
01
—
0R1848
HEALTH NET
CT
Enumeration date
09/11/2006
Last updated
03/08/2023
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