Organization
MALATHY T SUNDARAM M.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALATHY T SUNDARAM MD (MD)
(207) 850-1079
Entity
Organization
Contact information
Practice address
312 COTTAGE ST STE A, SANFORD, ME 04073-1817
(207) 850-1079
(207) 324-0911
Mailing address
312 COTTAGE ST STE A, SANFORD, ME 04073-1817
(207) 850-1079
(207) 324-0911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16273
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087980
—
NH
Enumeration date
05/08/2014
Last updated
05/08/2014
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