Individual
JULIE J SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, METHODIST HOSPITAL, ST LOUIS PARK, MN 55426
(952) 993-6080
(952) 993-6047
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.106776
IL
207P00000X
Emergency Medicine Physician
45624
MN
207P00000X
Emergency Medicine Physician
Primary
67759-20
WI
207RB0002X
Obesity Medicine (Internal Medicine) Physician
036.106776
IL
207RB0002X
Obesity Medicine (Internal Medicine) Physician
67759-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108422400
—
MN
01
—
45624
MEDICAL LICENSE
MN
Enumeration date
03/07/2006
Last updated
04/22/2026
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