Individual
ABIRAMMY SUNDARAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
167 W MAIN RD, CONNEAUT, OH 44030-2057
(440) 599-7466
(440) 593-6498
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 599-7466
(440) 593-6498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-121986
OH
207R00000X
Internal Medicine Physician
Primary
ME150998
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2010
Last updated
01/18/2023
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