Sundaram, Nandi

Sundaram, Nandi is an individual health care provider with primary practice located at 2492 Walnut Ave Ste 140 , Tustin CA 92780-6953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Sundaram, Nandi can be contacted via phone (714) 544-2188.

Contact Information

Primary practice address
2492 Walnut Ave Ste 140 Tustin CA 92780-6953
Phone: (714) 544-2188
Fax: (714) 544-2189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT29433 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT29433 California

Profile Details

NPI number 1568650794
LBN Legal business name Sundaram, Nandi
Credentials PT, MPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Feb 28th, 2014 - about 12 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 1568650794 NPPES
California Other PT29433 STATE LICENSE

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