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Contact Information

KANAGARATNAM JEGATHESAN, MD
2271 EAST MAIN STREET
WATERBURY, CT06705
 Phone: 203-753-4131
 Fax: 203-753-6887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KANAGARATNAM JEGATHESAN · (Male)

NPI Number 1497859409
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2006
Last updated 03/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 17004
  • CT License # 170040
  • CT Medicaid 001170042
  • CT Other 010017004CT01 BCBS
  • CT Other 0R1848 HEALTH NET
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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