Individual
JEYANTHAN KEVIN JAYAKUMARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
11 ROCKY HILL RD, PRINCETON, NJ 08540-9491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
329893
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
329893
NY
207RP1001X
Pulmonary Disease Physician
Primary
329893
NY
Other
Enumeration date
06/24/2018
Last updated
08/17/2024
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