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General NPI Number Information
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NPI Number | 1518268341
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Entity Type | Individual
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Provider Name | LAKSHMAN SUNDARAM MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 515 W 59TH ST APT 24 P
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City | NEW YORK
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State | NY
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Zip | 10019-1047
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Country | US
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Telephone | 917-349-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 8002 KEW GARDENS RD FL 5
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City | KEW GARDENS
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State | NY
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Zip | 11415-3600
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Country | US
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Telephone | 347-453-5682
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 332070
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License Number State | NY
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