Organization
PROGRESSIVE CRITICAL CARE MEDICINE, LLC
Active
Organization
PROGRESSIVE CRITICAL CARE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBODHKUMAR SUNDARAM MD (PHYSICIAN)
(703) 996-9964
Entity
Organization
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
Mailing address
4019 WOODLAND RD, ANNANDALE, VA 22003-2606
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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