Individual
DR. BHARATHY E SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 N HIGHLAND AVE, SUITE 200, SHERMAN, TX 75092-7378
(903) 893-5141
(903) 891-4285
Mailing address
321 N HIGHLAND AVE, SUITE 200, SHERMAN, TX 75092-7378
(903) 893-5141
(903) 891-4285
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J7219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000490A
—
OK
05
—
115625902
—
TX
01
—
130010217
RAILROAD MEDICARE
TX
01
—
83Z012
BLUE CROSS
TX
Enumeration date
07/10/2005
Last updated
01/31/2011
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