Individual
VIJI SUNDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR STE 902, JACKSONVILLE, FL 32207-8336
(904) 399-5620
Mailing address
836 PRUDENTIAL DR STE 902, JACKSONVILLE, FL 32207-8336
(415) 535-2494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
006126
GA
207VE0102X
Reproductive Endocrinology Physician
147967
CA
207VE0102X
Reproductive Endocrinology Physician
Primary
ME162700
FL
Other
Enumeration date
06/25/2013
Last updated
02/01/2024
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