Sundaram, Judi

Sundaram, Judi is an individual health care provider with primary practice located at 2105 Martin Luther King Jr Way Fl 1 , Berkeley CA 94704-1108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sundaram, Judi can be contacted via phone (888) 588-8995.

Contact Information

Primary practice address
2105 Martin Luther King Jr Way Fl 1 Berkeley CA 94704-1108
Phone: (888) 588-8995
Fax: (518) 756-0812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95017148 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2302318 Massachusetts

Profile Details

NPI number 1912524687
LBN Legal business name Sundaram, Judi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Apr 16th, 2025 - about last year

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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