Individual
DR. SURESH KUMAR KULANDHAISAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Mailing address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(585) 935-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003828
NY
207RC0000X
Cardiovascular Disease Physician
EC151003
ME
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.153292
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
13941-320
WI
208M00000X
Hospitalist Physician
003828-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03393579
—
NY
Enumeration date
09/08/2008
Last updated
10/28/2025
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