Daram, Sumanth R

Daram, Sumanth R is an individual health care provider with primary practice located at 1120 15Th Street , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Daram, Sumanth R can be contacted via phone (706) 724-6100.

Contact Information

Primary practice address
1120 15Th Street Augusta GA 30912-0004
Phone: (706) 724-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46290-020 Wisconsin
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036.130180 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 067892 Georgia

Profile Details

NPI number 1619957107
LBN Legal business name Daram, Sumanth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 9th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619957107 NPPES
Wisconsin MEDICAID 34565300

Popular Providers