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NPI Code Detail

MEDICARE: RAMA SUNDAR MD

MEDICARE: RAMA SUNDAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianIL

General Provider Information

NPI Number : 1740382357
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMA SUNDAR MD
Provider Business Mailing Address
First Line : 5909 W 35TH ST
Second Line :
City : CICERO
State : IL
Zip : 60804-4163
Country : US
Telephone Number : 708-652-1787
Fax Number : 708-652-2794
Provider Business Practice Location Address
First Line : 5909 W 35TH ST
Second Line :
City : CICERO
State : IL
Zip : 60804-4163
Country : US
Telephone Number : 708-652-1787
Fax Number : 708-652-2794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 07/08/2007

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Directions to “ RAMA SUNDAR MD” Practice Location

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