# GIDUMAL MD PC

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

## Provider details

- **NPI number:** 1851218259
- **Authorized official:** SUNDER GIDUMAL MD (OWNER)
- **Authorized official phone:** (917) 566-6720

## Contact information

- **Practice address:** 11820 MAYFIELD AVE APT 215, LOS ANGELES, CA 90049-5771
- **Practice address phone:** (646) 801-2480
- **Practice address fax:** (646) 801-2480
- **Mailing address:** 11820 MAYFIELD AVE APT 215, LOS ANGELES, CA 90049-5771
- **Mailing address phone:** (646) 801-2480
- **Mailing address fax:** (646) 801-2480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 07/06/2026