GNANA SUNDERAM MD; PC NPI 1245549583

NPI Information

NPI: 1245549583
Provider Name: GNANA SUNDERAM MD; PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
310 CENTRAL AVE STE 205
EAST ORANGE, NJ
ZIP 07018
Phone: (973) 266-1227
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GNANA SUNDERAM MD; PC is a specialist in East Orange, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GNANA SUNDERAM MD; PC NPI is 1245549583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 CENTRAL AVE STE 205
EAST ORANGE, NJ
ZIP 07018-838
Phone: (973) 266-1227

The provider's authorized official is Gnana Sunderam .
The authorized official title is Physician and has the following contact phone number (973) 266-9111.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 11/23/2010.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		25MA04298800	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	188250	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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