# CMM SUNDARAM MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336397322
- **Authorized official:** DR. CMM SUNDARAM MD (PRESIDENT)
- **Authorized official phone:** (414) 933-9851

## Contact information

- **Practice address:** 2600 N MAYFAIR RD, SUITE 670, WAUWATOSA, WI 53226-1309
- **Practice address phone:** (414) 933-9851
- **Mailing address:** 2600 N MAYFAIR RD, SUITE 670, WAUWATOSA, WI 53226-1309
- **Mailing address phone:** (414) 933-9851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 21941 | WI | — |
| 207RG0100X | Gastroenterology Physician | 21941 | WI | Yes |
| 207RR0500X | Rheumatology Physician | 21941 | WI | — |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 09/03/2008