Kanishq Rajan Jethani, M.D
Internal Medicine in Springfield, MA. Individual provider (NPI-1).
NPI number1003553744
StatusActive
Last updated in NPPESSep 10, 2025
Details
- NPI
- 1003553744
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kanishq Rajan Jethani
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2022
- Certification date
- Sep 10, 2025
- Last updated
- Sep 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 1023396 | MA | Yes |
| 208M00000X | Hospitalist | 1023396 | MA |
Practice location
759 Chestnut StSpringfield, MA 01107-1619
Phone 413-794-4320 · Fax 413-794-1767
Mailing address
280 Chestnut St Fl 2Springfield, MA 01199-1001
Phone 413-794-3909
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