Sundaram, Jawahar
Sundaram, Jawahar is an individual health care provider with primary practice located at 987W Vernon Ave , Los Angeles CA 90037-3038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sundaram, Jawahar can be contacted via phone (323) 234-6300.Contact Information
Primary practice address
987W Vernon Ave
Los Angeles CA 90037-3038
Phone: (323) 234-6300
Fax: (323) 234-0100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A67659 | California |
Profile Details
| NPI number | 1720082100 |
|---|---|
| LBN Legal business name | Sundaram, Jawahar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Apr 27th, 2021 - about 3 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 | 1720082100 | NPPES |
| California | MEDICAID | 00A676590 |
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