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Contact Information

KANDHASAMY JAGATHAMBAL, MD
330 WASHINGTON ST
STE 220 EASTERN CT HEMATOLOGY & ONCOLOGY
NORWICH, CT06360-2700
 Phone: 860-886-8362
 Fax: 860-886-9262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KANDHASAMY JAGATHAMBAL · (Female)

NPI Number 1043295033
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2005
Last updated 07/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 030513
  • CT Medicaid 001305136
  • CT Other 0113958 AETNA
  • CT Other 010030513CT02 BC BS
Hospital affiliation(s)
  • WILLIAM W BACKUS HOSPITAL - (Acute Care)
    326 WASHINGTON ST
    NORWICH, CT 06360
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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