Individual
KRISHNA MURTHY SUNDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 300 W, #500, PROVO, UT 84604-3344
(801) 357-7291
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
316989
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
316489-1205
UT
207RP1001X
Pulmonary Disease Physician
316489-1205
UT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
316489-1205
UT
Other
Enumeration date
07/31/2006
Last updated
08/10/2023
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