Sundaram, Balasasikumar
Sundaram, Balasasikumar is an individual health care provider with primary practice located at 1001 Towson Ave , Fort Smith AR 72901-4921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sundaram, Balasasikumar can be contacted via phone (479) 441-5011.Contact Information
Primary practice address
1001 Towson Ave
Fort Smith AR 72901-4921
Phone: (479) 441-5011
Fax: (479) 441-4932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E4251 | Arkansas |
Profile Details
| NPI number | 1922057900 |
|---|---|
| LBN Legal business name | Sundaram, Balasasikumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1922057900 | NPPES |
| Arkansas | MEDICAID | 156990001 | |
| Arkansas | Other | E4251 | |
| Arkansas | MEDICAID | 200117580A |
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