Sambandam, Sundaresan T

Sambandam, Sundaresan T is an individual health care provider with primary practice located at 1220 Pontiac Ave Suite 101, Cranston RI 02920-4456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Sambandam, Sundaresan T can be contacted via phone (401) 943-4660.

Contact Information

Primary practice address
1220 Pontiac Ave Suite 101 Cranston RI 02920-4456
Phone: (401) 943-4660
Fax: (401) 943-0240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 05372 Rhode Island

Profile Details

NPI number 1811971922
LBN Legal business name Sambandam, Sundaresan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 12th, 2024 - about 2 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 1811971922 NPPES
Rhode Island Other 001994 BLUECHIP/RIBCBS
Rhode Island Other 0000002589 BLUECHIP/RIBCBS
Rhode Island Other 30-00050 BLUECHIP/RIBCBS
Rhode Island Other RI0007390 BLUECHIP/RIBCBS
Rhode Island Other 4549333 BLUECHIP/RIBCBS
Rhode Island Other 005372 BLUECHIP/RIBCBS
Rhode Island Other 2376 BLUECHIP/RIBCBS
Rhode Island Other 9475RIH BLUECHIP/RIBCBS
Rhode Island MEDICAID 0173690 BLUECHIP/RIBCBS
Rhode Island Other 0513005 BLUECHIP/RIBCBS
Rhode Island Other 720024001 BLUECHIP/RIBCBS
Rhode Island MEDICAID 7003434 BLUECHIP/RIBCBS

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