Sundaram, Shankar M
Sundaram, Shankar M is an sole proprietor health care provider with primary practice located at 3085 Woodman Dr Ste 320 , Dayton OH 45420-1171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sundaram, Shankar M can be contacted via phone (833) 828-0838.Contact Information
Primary practice address
3085 Woodman Dr Ste 320
Dayton OH 45420-1171
Phone: (833) 828-0838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301503585 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.140498 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301503585 | Michigan |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | DR.0069648 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35.140498 | Ohio |
Profile Details
| NPI number | 1730138892 |
|---|---|
| LBN Legal business name | Sundaram, Shankar M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Apr 19th, 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 | 1730138892 | NPPES |
| Other | H822401 | MEDICARE PTAN |
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