Sundaram, Revathy
Sundaram, Revathy is an individual health care provider with primary practice located at 506 6Th St , Brooklyn NY 11215-3609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Sundaram, Revathy can be contacted via phone (212) 256-3682.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 138054 | New York |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 138054 | New York |
Profile Details
NPI number | 1215999008 |
---|---|
LBN Legal business name | Sundaram, Revathy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2006 |
Last updated | Jun 22nd, 2023 - about 2 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 | 1215999008 | NPPES |
New York | MEDICAID | 00788156 |
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