Organization
KANAGARATNAM JEGATHESAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANTHIMAJHI JEGATHESAN MD (SECRETARY OF THE CORPORATION)
(203) 753-4131
Entity
Organization
Contact information
Practice address
2271 EAST MAIN ST, WATERBURY, CT 06705
(203) 753-4131
(203) 753-6887
Mailing address
2271 EAST MAIN ST, WATERBURY, CT 06705
(203) 753-4131
(203) 753-6887
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50KJEGATHCT01
BCBS
CT
Enumeration date
09/11/2006
Last updated
08/22/2020
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