Sundaram, Sumuk
Sundaram, Sumuk is an individual health care provider with primary practice located at 1801 Windsor Rd , Champaign IL 61822-6217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sundaram, Sumuk can be contacted via phone (217) 366-5434.Contact Information
Primary practice address
1801 Windsor Rd
Champaign IL 61822-6217
Phone: (217) 366-5434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-101030 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036-101030 | Illinois |
Profile Details
| NPI number | 1275542912 |
|---|---|
| LBN Legal business name | Sundaram, Sumuk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 16th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275542912 | NPPES |
| Illinois | Other | 279500 | MEDICARE GROUP |
| Illinois | Other | 110211234 | MEDICARE GROUP |
| Illinois | MEDICAID | 1275542912 1 | MEDICARE GROUP |
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