Individual
DR. JEGEN KANDASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 6TH AVE S, WIC - SUITE 176F, BIRMINGHAM, AL 35233-1802
(205) 934-8793
Mailing address
1700 6TH AVE S, 176F SUITE 9380W, BIRMINGHAM, AL 35233-1802
(205) 934-4680
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
08/14/2012
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