Magesh Sundaram MD

NPI 1114924735 - Surgery - 2086X0206X

NPI Details
NPI 1114924735
Gender Male
Enumeration Date 06/29/2005
Last Updated 07/23/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
URBANA IL, 61801-1645, US
Phone (217) 383-6636
Fax (217) 383-3466
Business Location
611 W. PARK ST.
URBANA IL, 61801-2500, US
Phone (217) 383-6792
Fax (217) 383-4752
Taxonomy Code 2086X0206X
License State Rhode Island
License Number D11142
Remove 1114924735 NPI Number

According to our database, Dr. Magesh Sundaram MD NPI is 1114924735, taxonomy code is 2086X0206X and license number is D11142, license state is located at Rhode Island. Magesh Sundaram MD physically located at 509 W University Ave, Urbana IL, 61801-1645. NPI Number Magesh Sundaram MD has the Individual type.

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1114924735 NPI number is provided on an as is basis without warranty of any kind. 1114924735 is maintained by the National Plan & Provider Enumeration System. The contents of Magesh Sundaram MD are for informational purposes only.