Provider Demographics
NPI:1871850388
Name:RASANATHAN, JENNIFER JULIANA KNOESTER (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JULIANA KNOESTER
Last Name:RASANATHAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:JULIANA
Other - Last Name:KNOESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 E 18TH ST
Mailing Address - Street 2:APARTMENT 4C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:211 E 18TH ST
Practice Address - Street 2:APARTMENT 4C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3620
Practice Address - Country:US
Practice Address - Phone:734-277-0562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program