Individual
DR. MECHERI SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13713
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112950
—
MS
01
—
P00620822
RAILROAD MEDICARE
MS
Enumeration date
07/28/2006
Last updated
05/03/2016
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