Individual
SUNDER SHYAM GIDUMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90095-6508
(310) 206-6688
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A202526
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
724578891
NY
Other
Enumeration date
03/27/2020
Last updated
07/01/2025
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