Sridhar, Sundara R

Sridhar, Sundara R is an individual health care provider with primary practice located at 2601 Ocean Pkwy , Brooklyn NY 11235-7745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Sridhar, Sundara R can be contacted via phone (718) 616-4408.

Contact Information

Primary practice address
2601 Ocean Pkwy Brooklyn NY 11235-7745
Phone: (718) 616-4408
Fax: (718) 616-4105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 135673 New York
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 135673 New York

Profile Details

NPI number 1376566232
LBN Legal business name Sridhar, Sundara R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1376566232 NPPES
New York MEDICAID 00640217

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