Sundaram, Revathy

Sundaram, Revathy is an individual health care provider with primary practice located at 506 6Th St , Brooklyn NY 11215-3609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Sundaram, Revathy can be contacted via phone (212) 256-3682.

Contact Information

Primary practice address
506 6Th St Brooklyn NY 11215-3609
Phone: (212) 256-3682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 138054 New York
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 138054 New York

Profile Details

NPI number 1215999008
LBN Legal business name Sundaram, Revathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jun 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215999008 NPPES
New York MEDICAID 00788156

Popular Providers