Provider Demographics
NPI:1497704936
Name:KANAGARAJAN, KARTHIKEYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARTHIKEYAN
Middle Name:
Last Name:KANAGARAJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2123 AUBURN AVE STE 440
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2906
Mailing Address - Country:US
Mailing Address - Phone:513-648-8980
Mailing Address - Fax:513-648-8988
Practice Address - Street 1:2123 AUBURN AVE STE 440
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-648-8980
Practice Address - Fax:513-648-8988
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.087409207RP1001X, 207RS0012X
OH35.87409207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2649745Medicaid
IN200816720Medicaid
KY64119092Medicaid
OHI04045Medicare UPIN
IN200816720Medicaid