Sundaram, Raghunandan
Sundaram, Raghunandan is an sole proprietor health care provider with primary practice located at 817 Rahway Ave , Elizabeth NJ 07202-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sundaram, Raghunandan can be contacted via phone (908) 355-7365.Contact Information
Primary practice address
817 Rahway Ave
Elizabeth NJ 07202-2212
Phone: (908) 355-7365
Fax: (908) 355-2452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07433200 | New Jersey |
Profile Details
| NPI number | 1760555007 |
|---|---|
| LBN Legal business name | Sundaram, Raghunandan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1760555007 | NPPES |
| Michigan | MEDICAID | 4544682 |
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