JEGADEES DEVANESAN M.D. NPI 1639193204

NPI Information

  • NPI: 1639193204
  • Provider Name: JEGADEES DEVANESAN, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 540 W SAGAMORE AVE
    CLEWISTON, FL
    ZIP 33440
  • Phone: (863) 983-5026

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NPI Details

Jegadees Devanesan, M.D. is a surgery in Clewiston, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Jegadees Devanesan, M.D. NPI is 1639193204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

540 W SAGAMORE AVE
CLEWISTON, FL
ZIP 33440-514
Phone: (863) 983-5026
Fax: (863) 983-2973

The enumeration date for this NPI number is 7/27/2006 and was last updated on 10/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryME35369FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
127017YMEDICARE PINFLORIDA
2000353300MEDICAIDFLORIDA
327017MEDICARE PIN
4E12143MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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