Sukumar, Sundaram
Sukumar, Sundaram is an individual health care provider with primary practice located at 2301 S Clear Creek Rd Suite 112, Killeen TX 76549-4143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sukumar, Sundaram can be contacted via phone (254) 519-3131.Contact Information
Primary practice address
2301 S Clear Creek Rd Suite 112
Killeen TX 76549-4143
Phone: (254) 519-3131
Fax: (254) 519-3133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J3239 | Texas |
Profile Details
| NPI number | 1336120880 |
|---|---|
| LBN Legal business name | Sukumar, Sundaram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Oct 12th, 2011 - about 14 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 | 1336120880 | NPPES |
| Texas | MEDICAID | 149341301 | |
| Texas | MEDICAID | 8570N0 |
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