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General NPI Number Information
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NPI Number | 1689624728
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Entity Type | Individual
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Provider Name | PORUR E. SOMASUNDARAM MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 18659 TAMIAMI TRL
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City | NORTH PORT
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State | FL
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Zip | 34287-7388
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Country | US
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Telephone | 941-423-5035
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Fax | 941-423-5034
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone |
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 6839195-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 44397
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | ME143717
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License Number State | FL
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