| Provider / Organization | NPI | Date Certified |
|---|---|---|
| THARUNJAN KAILAYANATHAN | 1861020182 | 2024-11-08 |
Tharunjan Kailayanathan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1861020182. Registration indicates Tharunjan Kailayanathan is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Dr. Tharunjan Kailayanathan |
| Practice Office Address | 475 SEAVIEW AVE STATEN ISLAND, NY US |
| Practice Office Telephone | 9732346922 |
| Mailing Address | 95 GAYWOOD AVE COLONIA, NJ 070672044 US |
| Business Telephone | 9732346922 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 450 CLARKSON AVENUE Department of surgery | Brooklyn, NY 112032012 | 7182705800 |
| 355 Bard Avenue Department of Medicine Villa Bldg | Staten Island, NY 10310 | 7188182419 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 25MA12257400
NJ |