Jayaraj-Sudarsan, Sujithra
Jayaraj-Sudarsan, Sujithra is an individual health care provider with primary practice located at 507 N Frederick Ave , Gaithersburg MD 20877-2506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jayaraj-Sudarsan, Sujithra can be contacted via phone (301) 840-1200.Contact Information
Primary practice address
507 N Frederick Ave
Gaithersburg MD 20877-2506
Phone: (301) 840-1200
Fax: (301) 840-9253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D0066695 | Maryland |
Profile Details
| NPI number | 1487831681 |
|---|---|
| LBN Legal business name | Jayaraj-Sudarsan, Sujithra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2008 |
| Last updated | Nov 17th, 2019 - about 6 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 | 1487831681 | NPPES |
| Michigan | Other | 4301083176 | EDUCATIONAL LICENSE |
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