Individual
KRISHNASAMY SOUNDARARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 5TH AVE, GP1, 1ST FLOOR, NEW YORK, NY 10029
(212) 241-5603
(212) 987-9310
Mailing address
1425 MADISON AVENUE, BOX 1273, NEW YORK, NY 10029
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD061319L
PA
Other
Enumeration date
09/26/2006
Last updated
10/25/2017
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