Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 2933915 | NY |
N | 207RX0202X | Medical Oncology | 2933915 | NY |
NPI | 1083979983 |
---|---|
Provider Name | Dr. Suchitra Sundaram |
First Address | New York, NY 10017-5699 |
Second Address | New York, NY 10029-6030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2012 |
Last Update Date | 29/04/2021 |