Individual
DR. JOHN E SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34414
KY
2085R0204X
Vascular & Interventional Radiology Physician
34414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200171240
—
IN
05
—
64344146
—
KY
Enumeration date
01/03/2006
Last updated
01/04/2024
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