Sundaram, Shankar M

Sundaram, Shankar M is an sole proprietor health care provider with primary practice located at 3085 Woodman Dr Ste 320 , Dayton OH 45420-1171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sundaram, Shankar M can be contacted via phone (833) 828-0838.

Contact Information

Primary practice address
3085 Woodman Dr Ste 320 Dayton OH 45420-1171
Phone: (833) 828-0838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301503585 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.140498 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301503585 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X DR.0069648 Colorado
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.140498 Ohio

Profile Details

NPI number 1730138892
LBN Legal business name Sundaram, Shankar M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Apr 19th, 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 1730138892 NPPES
Other H822401 MEDICARE PTAN

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