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
Fax: (301) 840-9253
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487831681 NPPES
Michigan Other 4301083176 EDUCATIONAL LICENSE

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