DR. SHEVANTI MANJULA JEGASOTHY M.D. NPI 1639197288

NPI Information

  • NPI: 1639197288
  • Provider Name: DR. SHEVANTI MANJULA JEGASOTHY, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 135 SAN LORENZO AVE STE 870
    CORAL GABLES, FL
    ZIP 33146
  • Phone: (305) 569-0067

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NPI Details

DR. Shevanti Manjula Jegasothy, M.D. is a specialist in Coral Gables, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Shevanti Manjula Jegasothy, M.D. NPI is 1639197288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

135 SAN LORENZO AVE STE 870
CORAL GABLES, FL
ZIP 33146-879
Phone: (305) 569-0067
Fax: (305) 569-0110

The NPI 1639197288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 2/12/2013.

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
1207N00000XDermatologyME0071046FLORIDANo
2174400000XSpecialistME0071046FLORIDAYes

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
143430AMEDICARE PINFLORIDA
2G67731MEDICARE UPINFLORIDA
3255140300MEDICAIDFLORIDA
42292815OTHERFLORIDAAETNA

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: 3/30/2025

NPI Synchronization or Removal

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