Individual
AYILAM S SUDHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1276 FULTON AVE FL 4, BRONX, NY 10456-3402
(718) 590-1800
Mailing address
1276 FULTON AVE FL 4, BRONX, NY 10456-3402
(718) 590-1800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
273660
NY
Other
Enumeration date
07/08/2008
Last updated
05/12/2016
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