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Provider Information for 1972522076


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Dr. JENNIFER PAPA KANAAN M.D.


Sex: Female

NPI: 1972522076
Last Updated: 2024-04-11
Certification Date: 2024-04-11

Details

NameValue
NPI1972522076
Enumeration Date2006-07-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 263 FARMINGTON AVE
DEPARTMENT OF PULMONARY MEDICINE
FARMINGTON, CT 06030-1321
United States

Phone: 860-679-3585 | Fax:
 
Primary Practice Address 263 FARMINGTON AVE
THE PAT AND JIM CALHOUN CARDIOLOGY CENTER
FARMINGTON, CT 06030-1321
United States

Phone: 860-679-3343 | Fax:860-679-4256
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
jkanaan9680@direct.med.uchc.edu
Uconn Medical Group
Farmington, CT 06030-0001
United States
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCT1972522076
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 207RP1001X - Internal Medicine - Pulmonary DiseaseCT040794
No 207RC0200X - Internal Medicine - Critical Care MedicineCT040794