Revathy Sundaram
Pediatrician Pediatric Hematology-Oncologist
506 6th St
Brooklyn
, New York 11215-3609
Revathy Sundaram
Pediatrician Pediatric Hematology-Oncologist
506 6th St
Brooklyn
, New York 11215-3609
(718) 780-3515
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Revathy Sundaram
- 506 6th St
- Brooklyn, NY
- Zip : 11215-3609
- Fax : (718) 780-3515
- Phone : (718) 780-3066
Second Address
- Revathy Sundaram
- 506 6th St
- Brooklyn, NY
- Zip : 11215-3609
- Phone : (212) 256-3682
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 138054 | NY |
| N | 2080P0207X | Pediatric Hematology-Oncologist | 138054 | NY |
National Provider Identifier
| NPI | 1215999008 |
|---|---|
| Provider Name | Revathy Sundaram |
| First Address | Brooklyn, NY 11215-3609 |
| Second Address | Brooklyn, NY 11215-3609 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2006 |
| Last Update Date | 23/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00788156 | (05) | NY |
| C12554 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.