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Individual
MEERA SUKUMARAN
Active
Individual
MEERA SUKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
157870
MA
208000000X
Pediatrics Physician
Primary
C54735
CA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
157870
MA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
C54735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192180
—
MA
Enumeration date
10/03/2006
Last updated
04/10/2024
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