Malathy T Sundaram M.d, Llc | |
312 Cottage St Ste A Sanford ME 04073-1817 | |
(207) 850-1079 | |
(207) 324-0911 |
Full Name | Malathy T Sundaram M.d, Llc |
---|---|
Speciality | Family Medicine |
Location | 312 Cottage St Ste A, Sanford, Maine |
Authorized Official Name and Position | Malathy T Sundaram (MD) |
Authorized Official Contact | 2078501079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Malathy T Sundaram M.d, Llc 312 Cottage St Ste A Sanford ME 04073-1817 Ph: (207) 850-1079 | Malathy T Sundaram M.d, Llc 312 Cottage St Ste A Sanford ME 04073-1817 Ph: (207) 850-1079 |
NPI Number | 1912318247 |
---|---|
Provider Enumeration Date | 05/08/2014 |
Last Update Date | 05/08/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912318247 | NPI | - | NPPES |
3087980 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD16273 (Maine) | Primary |
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