Mr. Kanishq Rajan Jethani, MD
Internal Medicine in Springfield, Massachusetts
1003553744- Practice location
- 759 Chestnut St, Springfield, MA 01107-1619
- Phone
- 413-794-4320
- Fax
- 413-794-1767
- Last updated
- September 10, 2025
Kanishq Rajan Jethani is an Internal Medicine based in Springfield, MA. Kanishq Rajan Jethani practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Kanishq Rajan Jethani is 1003553744 and holds a License No. 1023396 (MA). The current practice location address for Kanishq Rajan Jethani is 759 Chestnut St, Springfield, MA 01107-1619 and can be reached out via phone at 413-794-4320 and via fax at 413-794-1767.
Provider Profile Details
- NPI Number
- 1003553744
- Provider Name
- Kanishq Rajan Jethani
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 759 Chestnut St, Springfield, MA 01107-1619
- Phone Number
- 413-794-4320
- Fax Number
- 413-794-1767
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 15, 2022
- Last Update Date
- September 10, 2025
- Certification Date
- September 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 759 Chestnut St
Springfield, MA 01107-1619 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1619
- Phone Number
- 413-794-4320
- Fax Number
- 413-794-1767
Provider Business Mailing Address Details
- Address
- 280 Chestnut St Fl 2
Springfield, MA 01199-1001 - City
- Springfield
- State
- MA
- Zip
- 01199-1001
- Phone Number
- 413-794-3909
License Information
- License Number (1)
- 1023396
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 1023396
- License State (2)
- MA
- Taxonomy (2)
- Hospitalist · 208M00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Kanishq Rajan Jethani, MD?
The NPI number of Mr. Kanishq Rajan Jethani, MD is 1003553744. It was assigned on May 15, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Kanishq Rajan Jethani, MD?
Mr. Kanishq Rajan Jethani, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 1023396.
Where does Mr. Kanishq Rajan Jethani, MD practice?
The practice location is 759 Chestnut St, Springfield, MA 01107-1619. The office can be reached at 413-794-4320 (phone) or 413-794-1767 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003553744 directly on the NPPES registry website.