Sunder, Rajagopal Keerthy
Sunder, Rajagopal Keerthy is an individual health care provider with primary practice located at 17853 Santiago Blvd Ste 107 , Villa Park CA 92861-4199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sunder, Rajagopal Keerthy can be contacted via phone (510) 685-2022.Contact Information
Primary practice address
17853 Santiago Blvd Ste 107
Villa Park CA 92861-4199
Phone: (510) 685-2022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A94223 | California |
Profile Details
| NPI number | 1972572824 |
|---|---|
| LBN Legal business name | Sunder, Rajagopal Keerthy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 4th, 2020 - about 5 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 | 1972572824 | NPPES |
| Pennsylvania | MEDICAID | 101426267 |
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