Sunder, Rajagopal Keerthy

Sunder, Rajagopal Keerthy is an individual health care provider with primary practice located at 17853 Santiago Blvd Ste 107 , Villa Park CA 92861-4199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sunder, Rajagopal Keerthy can be contacted via phone (510) 685-2022.

Contact Information

Primary practice address
17853 Santiago Blvd Ste 107 Villa Park CA 92861-4199
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A94223 California

Profile Details

NPI number 1972572824
LBN Legal business name Sunder, Rajagopal Keerthy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 4th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972572824 NPPES
Pennsylvania MEDICAID 101426267

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