Sambasivam Suthan M.D

NPI 1144413691 - Internal Medicine - 207R00000X

NPI Details
NPI 1144413691
Gender Male
Enumeration Date 08/18/2007
Last Updated 03/20/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
550 LANDMARKS BLVD
ALTON IL, 62002-6321, US
Phone (618) 463-5905
Fax (618) 463-5935
Business Location
550 LANDMARKS BLVD
ALTON IL, 62002-6321, US
Phone (618) 463-5905
Fax (618) 463-5935
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 059773
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According to our database, Dr. Sambasivam Suthan M.D NPI is 1144413691, taxonomy code is 207R00000X and license number is 059773, license state is located at Georgia. Sambasivam Suthan M.D physically located at 550 Landmarks Blvd, Alton IL, 62002-6321. NPI Number Sambasivam Suthan M.D has the Individual type.

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1144413691 NPI number is provided on an as is basis without warranty of any kind. 1144413691 is maintained by the National Plan & Provider Enumeration System. The contents of Sambasivam Suthan M.D are for informational purposes only.