Individual provider · Type 1 NPI

Jegen Kandasamy, MD

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1811225097 Active

Practice location

1700 6th Ave S, Wic - Suite 176F
Birmingham, AL 35233-1802

Call (205) 934-8793 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811225097

Jegen Kandasamy, MD's National Provider Identifier is 1811225097, issued on Nov 25, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Aug 14, 2012.