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Organization

SHANMUGASUNDARAM, VENKATACHALAM

Active
Other names
V S Sundaram MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. V S SUNDARAM MD (DOCTOR OF MEDICINE)
(561) 798-6767
Entity
Organization

Contact information

Practice address
10131 W FOREST HILL BLVD STE 201, WELLINGTON, FL 33414-6109
(561) 798-6767
(561) 795-2706
Mailing address
10131 W FOREST HILL BLVD STE 201, WELLINGTON, FL 33414-6109
(561) 798-6767
(561) 795-2706

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00446
STAYWELL
FL
01
0067235
GHI
FL
05
040885901
FL
01
0854223
AETNA
01
1002118
UNITED HEALTH CARE
FL
01
3370WELL
NEIGHBORHOOD PARTNERS
FL
01
61449
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/24/2020
Last updated
04/24/2020
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