SUNDER MEDICAL CLINIC INC. NPI 1962776740

NPI Information

SUNDER MEDICAL CLINIC, INC. is a cardiovascular disease internal medicine in Ridgecrest, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SUNDER MEDICAL CLINIC, INC. NPI is 1962776740. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sunder Heart Institute & Vascular Medical Clinic.

The provider's business location address is:

1535 N CHINA LAKE BLVD
SUITE A
RIDGECREST, CA
ZIP 93555-667
Phone: (760) 446-1699
Fax: (661) 726-3723

The provider's authorized official is Shun K Sunder .
The authorized official title is President and has the following contact phone number (661) 726-3058.

The CLIA number assigned to this NPI record is 05D2080064 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2012 and was last updated on 4/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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