Sunderam, Gnana

Sunderam, Gnana is an sole proprietor health care provider with primary practice located at 310 Central Ave Suite 205, East Orange NJ 07018-2835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sunderam, Gnana can be contacted via phone (973) 266-9111.

Contact Information

Primary practice address
310 Central Ave Suite 205 East Orange NJ 07018-2835
Phone: (973) 266-9111
Fax: (973) 266-1227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA0429800 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA0429800 New Jersey

Profile Details

NPI number 1164446761
LBN Legal business name Sunderam, Gnana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jun 10th, 2024 - about 5 months 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 1164446761 NPPES
New Jersey MEDICAID 1264508

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