Sundaram, C.M.M.

Sundaram, C.M.M. is an sole proprietor health care provider with primary practice located at 2600 N Mayfair Road Ste 670, Milwaukee WI 53226. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sundaram, C.M.M. can be contacted via phone (414) 933-9851.

Contact Information

Primary practice address
2600 N Mayfair Road Ste 670 Milwaukee WI 53226
Phone: (414) 933-9851
Fax: (414) 933-1050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21941 Wisconsin
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 21941 Wisconsin
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 21941 Wisconsin

Profile Details

NPI number 1669469193
LBN Legal business name Sundaram, C.M.M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Dec 18th, 2017 - about 8 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 1669469193 NPPES
Wisconsin MEDICAID 30317000
Wisconsin Other 000046365

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