Kuncham, Sudha
Kuncham, Sudha is an sole proprietor health care provider with primary practice located at 2428 Merrick Rd , Bellmore NY 11710-5704. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kuncham, Sudha can be contacted via phone (516) 379-2689.Contact Information
Primary practice address
2428 Merrick Rd
Bellmore NY 11710-5704
Phone: (516) 379-2689
Fax: (516) 867-3880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 159205 | New York |
Profile Details
| NPI number | 1164501185 |
|---|---|
| LBN Legal business name | Kuncham, Sudha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jan 29th, 2009 - about 17 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 | 1164501185 | NPPES |
| New York | Other | 84D771 | MEDICARE ID# |
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