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Nandakumar Janakiraman

Dentist

Dental Providers

263 Farmington Ave, Farmington, CT 06030-0001

(860) 679-2000 (860) 679-1414

PECOS Enrollment

Based on the most recent information from CMS, provider Nandakumar Janakiraman is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1194012716
Provider Type
Individual
Full Name
Janakiraman, Nandakumar
Title
Dr.
Credential
M.D.S

Gender
Male
Sole Proprietor
No
Enumeration Date
7/3/2011
Last Updated
12/23/2014

Contact Information

Practice Location

263 Farmington Ave, Farmington, CT 06030-0001

(860) 679-2000

Unlisted Fax

Mailing Location

950 Farmington Ave Apt B6, New Britain, CT 06053-1333

(860) 679-1414

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223X0400X Primary	Description Dentist Dental Providers	License 011280 Connecticut

Nandakumar Janakiraman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Upadhyay, Madhur

Chandhoke, Taranpreet

Nanda, Anjali

Dutra, Eliane Hermes

Mukherjee, Padma

Azami, Niloufar

Yadav, Sumit

Knecht, Kristen Marie

Grover, Shaifali

Banankhah, Sina