Individual
DR. KALYANA SUNDARAM
Active
Individual
DR. KALYANA SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29047
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4107003
—
IA
01
—
421417307A5
JOHN DEERE HEALTH INS PLA
IA
01
—
58342
WELLMARK INS PLAN
IA
Enumeration date
05/18/2006
Last updated
03/15/2022
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