Sundram, Ponnambalam S

Sundram, Ponnambalam S is an individual health care provider with primary practice located at 71 W 156Th St Ste 305, Harvey IL 60426-4260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sundram, Ponnambalam S can be contacted via phone (708) 331-2200.

Contact Information

Primary practice address
71 W 156Th St Ste 305 Harvey IL 60426-4260
Phone: (708) 331-2200
Fax: (708) 331-8015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036070565 Illinois

Profile Details

NPI number 1437137478
LBN Legal business name Sundram, Ponnambalam S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Feb 21st, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437137478 NPPES
Illinois MEDICAID 0360705655
Illinois Other 060058942

Popular Providers