Individual
SUNDER VENKATESULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
796 NEWTOWN YARDLEY RD STE 200, NEWTOWN, PA 18940-1748
(215) 860-3344
Mailing address
104 PHEASANT RUN, SUITE 129, NEWTOWN, PA 18940-3439
(215) 860-3344
(215) 860-8950
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA07080200
NJ
207RC0000X
Cardiovascular Disease Physician
MD045304L
PA
207RI0011X
Interventional Cardiology Physician
25MA07080200
NJ
207RI0011X
Interventional Cardiology Physician
Primary
MD045304L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7945701
—
NJ
Enumeration date
10/14/2005
Last updated
03/15/2023
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