Kulandhaisamy, Suresh Kumar

Kulandhaisamy, Suresh Kumar is an individual health care provider with primary practice located at 619 E Mason St Ste 4P57 , Springfield IL 62701-1034. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Kulandhaisamy, Suresh Kumar can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
619 E Mason St Ste 4P57 Springfield IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 003828-1 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036.153292 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 003828 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X EC151003 Maine

Profile Details

NPI number 1972751451
LBN Legal business name Kulandhaisamy, Suresh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Dec 29th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972751451 NPPES
New York MEDICAID 03393579

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