Jagannath, Sundar
Jagannath, Sundar is an individual health care provider with primary practice located at 10 E 102Nd St , New York NY 10029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Jagannath, Sundar can be contacted via phone (212) 241-6756.Contact Information
Primary practice address
10 E 102Nd St
New York NY 10029
Phone: (212) 241-6756
Fax: (212) 241-3908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 209335 | New York |
Profile Details
| NPI number | 1174511687 |
|---|---|
| LBN Legal business name | Jagannath, Sundar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Feb 26th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174511687 | NPPES |
| New York | MEDICAID | 01259874 |
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