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Individual
DR. SUMUK SUNDARAM
Active
Individual
DR. SUMUK SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-101030
IL
208M00000X
Hospitalist Physician
036-101030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110211234
RAILROAD MEDICARE
IL
05
—
1275542912 1
—
IL
01
—
279500
MEDICARE GROUP
IL
Enumeration date
08/05/2006
Last updated
07/16/2024
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