Sundaresh, Vishnu
Sundaresh, Vishnu is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Sundaresh, Vishnu can be contacted via phone (801) 581-7763.Contact Information
Primary practice address
50 N Medical Dr
Salt Lake City UT 84132-0100
Phone: (801) 581-7763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8906407-1205 | Utah |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 8906407-1205 | Utah |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 8906407-1205 | Utah |
Profile Details
| NPI number | 1992026975 |
|---|---|
| LBN Legal business name | Sundaresh, Vishnu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2010 |
| Last updated | Nov 23rd, 2021 - about 5 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 | 1992026975 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | Other | P00954344 |
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