Individual
ANDREW SUGANTHARAJ
Active
Individual
ANDREW SUGANTHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025789
TN
208M00000X
Hospitalist Physician
25789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095110
—
TN
01
—
4064152
BCBS
TN
01
—
5922709
AETNA
TN
01
—
P00078150
PALMETTO GBA-RR MCR
TN
Enumeration date
01/04/2006
Last updated
05/13/2014
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