Suthan, Sambasivam
Suthan, Sambasivam is an individual health care provider with primary practice located at 4 Memorial Dr Ste 210 , Alton IL 62002-6751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Suthan, Sambasivam can be contacted via phone (618) 463-5905.Contact Information
Primary practice address
4 Memorial Dr Ste 210
Alton IL 62002-6751
Phone: (618) 463-5905
Fax: (618) 463-5935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 059773 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036126642 | Illinois |
Profile Details
| NPI number | 1144413691 |
|---|---|
| LBN Legal business name | Suthan, Sambasivam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2007 |
| Last updated | May 3rd, 2018 - about 7 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 | 1144413691 | NPPES |
| Georgia | Other | 641203605A | PEACHCARE FOR KIDS |
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