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Individual
DR. NINA SUNDARAM
Active
Individual
DR. NINA SUNDARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
254592-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03734205
—
NY
01
—
A400128051
MEDICARE PTAN
NY
Enumeration date
05/23/2008
Last updated
05/18/2022
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