Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 039487 | CT |
Y | 207RP1001X | Pulmonary Disease | 039487 | CT |
N | 207RS0012X | Sleep Medicine | 039487 | CT |
NPI | 1073506317 |
---|---|
Provider Name | Dr. Ganesh C Natarajan |
First Address | Brookfield, CT 06804-1144 |
Second Address | Brookfield, CT 06804-1144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 14/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001394874 | (05) | CT |
H12806 | (02) | CT |