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Organization
SHANKAR SUNDARAM M.D., INC.
Active
Organization
SHANKAR SUNDARAM M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANKAR SUNDARAM M.D. (PRESIDENT)
(562) 403-1116
Entity
Organization
Contact information
Practice address
3350 W BALL RD, ANAHEIM, CA 92804-3710
(714) 827-6700
Mailing address
PO BOX 5280, HUNTINGTON BEACH, CA 92615-5280
(714) 374-0816
(714) 374-0818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A33288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A332880
—
CA
Enumeration date
02/01/2012
Last updated
02/01/2012
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