Sundaram, Magesh

Sundaram, Magesh is an individual health care provider with primary practice located at 14999 Health Center Dr Ste 201 , Bowie MD 20716-1087. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Sundaram, Magesh can be contacted via phone (667) 214-1718.

Contact Information

Primary practice address
14999 Health Center Dr Ste 201 Bowie MD 20716-1087
Phone: (667) 214-1718
Fax: (410) 328-5147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C1-0004534 Delaware
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036130584 Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X D0052627 Maryland

Profile Details

NPI number 1114924735
LBN Legal business name Sundaram, Magesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Apr 4th, 2023 - about 3 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 1114924735 NPPES
West Virginia Other P00266429 RAILROAD MEDICARE
West Virginia Other 36066 RAILROAD MEDICARE
West Virginia MEDICAID 004733300 RAILROAD MEDICARE
West Virginia MEDICAID 1014359720001 RAILROAD MEDICARE
West Virginia MEDICAID 2598694 RAILROAD MEDICARE
West Virginia MEDICAID 3810003244 RAILROAD MEDICARE
West Virginia MEDICAID 64106016 RAILROAD MEDICARE

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