Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 0101047688 | VA |
N | 207U00000X | Nuclear Medicine Specialist | D24815 | MD |
N | 207U00000X | Nuclear Medicine Specialist | MD064853L | PA |
N | 207U00000X | Nuclear Medicine Specialist | MD06798R | LA |
N | 207U00000X | Nuclear Medicine Specialist | MD12216 | DC |
NPI | 1104909605 |
---|---|
Provider Name | Dr. Sidney Kumar Suneja |
First Address | Bethesda, MD 20817-4405 |
Second Address | Bethesda, MD 20817-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B89307 | (02) | DC |