Basic Information
Provider Information
NPI: 1700927662
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THIRUGNANASAMBANDAM
FirstName: SENTHILNATHAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
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Mailing Information
Address1: A2 SHRI KALKI APARTMENT
Address2: 21 BAZULLAH ROAD, T NAGAR
City: CHENNAI
State: TAMIL NADU
PostalCode: 600017
CountryCode: IN
TelephoneNumber: 00914352421517
FaxNumber:  
Practice Location
Address1: 530 S JACKSON ST
Address2: UNIVERSITY OF LOUISVILLE HOSPITAL
City: LOUISVILLE
State: KY
PostalCode: 40203
CountryCode: US
TelephoneNumber: 5025847525
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/12/2007
LastUpdateDate: 04/12/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0117XFT407KYY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine

No ID Information.


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