Organization
RENJIT SUNDHARRADAS MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENJIT ALLEN SUNDHARADAS MD (OWNER)
(858) 216-4425
Entity
Organization
Contact information
Practice address
1030 LA BONITA AVE, SUITE 316, SAN MARCOS, CA 92078-5291
(858) 216-4425
(858) 216-4371
Mailing address
PO BOX 2858, LANCASTER, CA 93539-2858
(858) 216-4425
(858) 216-4371
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
A96240
CA
2081P0004X
Spinal Cord Injury Medicine Physician
A96240
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A96240
CA
Other
Enumeration date
12/02/2011
Last updated
06/12/2012
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