Individual
RAJALAKSHMY SUNDARARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-7459
(574) 647-3658
Mailing address
3355 DOUGLAS RD, SUITE 300, SOUTH BEND, IN 46635-1781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01043805A
IN
207R00000X
Internal Medicine Physician
Primary
01043805A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072630
—
IN
05
—
4455706
—
MI
Enumeration date
11/01/2006
Last updated
09/08/2008
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