Organization
SHANKAR SUNDARAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA PRICE (ADMINISTRATOR)
(972) 548-7708
Entity
Organization
Contact information
Practice address
4510 MEDICAL CENTER DR, SUITE 112, MCKINNEY, TX 75069-1650
(972) 548-7708
(972) 542-7401
Mailing address
4510 MEDICAL CENTER DR, SUITE 112, MCKINNEY, TX 75069-1650
(972) 548-7708
(972) 542-7401
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L6191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18352401
—
TX
Enumeration date
10/04/2006
Last updated
01/07/2008
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