Individual
SOMASUNDERAM PADMALINGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3910 LIMA RD, FORT WAYNE, IN 46805-1031
(260) 420-6040
Mailing address
14315 BRIDGESTONE RD, FORT WAYNE, IN 46814-9144
(302) 584-6067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01077156A
IN
207Q00000X
Family Medicine Physician
Primary
C10001554
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000044701
—
DE
Enumeration date
09/21/2006
Last updated
05/07/2021
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