Individual
RAJENDRAN SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5172 LEAVITT RD, LORAIN, OH 44053-2384
(440) 282-7420
(440) 282-9855
Mailing address
5334 MEADOW LANE CT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 934-5454
(440) 934-8999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35072485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110185582
RR MEDICARE
OH
05
—
2023367
—
OH
Enumeration date
09/21/2005
Last updated
11/14/2011
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