MR. KANAGARATNAM JEGATHESAN


Address: 2271 East Main Street, Waterbury, CT 06705
Phone: 2037534131

MR. KANAGARATNAM JEGATHESAN (NPI# 1497859409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497859409
Entity Type Individual
Full Name MR. KANAGARATNAM JEGATHESAN
Credential MD
Practice Address 2271 East Main Street
Waterbury
CT 06705
Practice Telephone 2037534131
Practice Fax Number 2037536887
Mailing Telephone 2037534131
Mailing Fax Number 2037536887
Enumeration Date 2006-09-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
170040 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT HEALTH NET 0R1848 01
CT BCBS 010017004CT01 01

Office Location

Street Address 2271 EAST MAIN STREET
City WATERBURY
State CT
Zip Code 06705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023112034 Kanthimathi Jegathesan Internal Medicine 2271 East Main Street, Waterbury, CT 06705 2006-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598245037 Karanbeer Singh Aulakh Dentist Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 2018-08-15
1912495797 Jennie Webb Physician Assistant 2247 E Main St Ste 103, Waterbury, CT 06705 2018-04-26
1558886671 Macaela Cirish Nurse Practitioner 3801 East Main Street, Second Floor, Waterbury, CT 06705 2017-08-09
1033648464 Mahwish Makhdoom Pharmacist 464 Reidville Drive, Waterbury, CT 06705 2017-06-08
1417407248 Jaswinder Gulati Dentist 939 Wolcott Street Unit 5b, Waterbury, CT 06705 2016-10-05
1407272107 Cori Capuano Counselor 230 Frost Rd Unit B, Waterbury, CT 06705 2014-03-05
1528403177 Daniel G. Brennan Dentist 2457 East Main St, Waterbury, CT 06705 2013-05-08
1538419742 Jenna Elizabeth Partola Physician Assistant 1327 Meriden Rd, Wolcott, CT 06705 2012-09-14
1710244785 Mirta Sabino Counselor 126 Stonefield Dr, Waterbury, CT 06705 2012-04-16
1578849519 Uday Shankar Internal Medicine 3801 E Main St Fl 2, Waterbury, CT 06705 2011-10-21
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598869596 Kanagaratnam Jegathesan Md PC Internal Medicine 2271 East Main St, Waterbury, CT 06705 2006-09-11
1710904404 Ann Lorraine Hume Internal Medicine 170 Grandview Ave, Waterbury, CT 06708-2525 2006-07-17
1386951747 Vanessa Yap Internal Medicine 170 Grandview Ave, Waterbury, CT 06708-2525 2010-09-08
1669501532 Waterbury Pulmonary Associates Internal Medicine 170 Grandview Ave, Waterbury, CT 06708-2513 2007-03-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356761290 Issahar Ben-dov Internal Medicine 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 2014-04-18
1669710216 Arthur Christian Degraff Jr. Internal Medicine 160 Hunter Dr, West Hartford, CT 06107-1017 2013-01-16
1215287214 Craig Stephen Conoscenti Internal Medicine 199 Gregory Blvd, Unit I5, Norwalk, CT 06855-2640 2012-09-17
1396024980 Johan Van Jaarsveld Internal Medicine 81 Deer Run Rd, Woodbridge, CT 06525-1907 2011-08-12
1215143953 Kaiser Toosy Internal Medicine 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 2007-05-16
1477675098 A. Joel Papowitz Internal Medicine 179 Pine Creek Ave, Fairfield, CT 06824-6341 2007-04-04
1639293186 Thinesh Dahanayake Internal Medicine 330 Washington St Ste 430, Norwich, CT 06360-2700 2007-03-19
1104910215 Christopher Edward Manfredi Internal Medicine 30 Stevens Street, Suite C, Norwalk, CT 06850 2006-10-03
1952414385 Michael B Teiger Md PC Internal Medicine 800 Cottage Grove Rd Bldg 5, Bloomfield, CT 06002 2006-08-17
1295754273 Southeastern Pulmonary Assoc. PC Internal Medicine 155 Montauk Avenue, New London, CT 06320 2006-07-19
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Competitor

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City WATERBURY
Zip Code 06705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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