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Dr. Baskaran Sundaram, MB,BS
Diagnostic Radiology Physician in Philadelphia, Pennsylvania
NPI 1972684959

Baskaran Sundaram is a Diagnostic Radiology Physician based in Philadelphia, PA and is specialized in Diagnostic Radiology. Baskaran Sundaram practices in Philadelphia, PA and has the professional credentials of MB,BS. The NPI Number for Baskaran Sundaram is 1972684959 and holds a License No. 4301081071 (Pennsylvania).

The current practice location address for Baskaran Sundaram is 111 S 11Th St, Philadelphia, PA and can be reached out via phone at 215-955-6226 and via fax at 215-923-1562.

Location: 111 S 11Th St, Philadelphia, PA, 19107-4824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972684959
Provider Name
Baskaran Sundaram
Credential
MB,BS
Provider Entity Type
Individual
Gender
Male
Address
111 S 11Th St, Philadelphia, PA, 19107-4824
Phone Number
215-955-6226
Fax Number
215-923-1562
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4507375 05 MI
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-4824
Phone Number
215-955-6226
Fax Number
215-923-1562
person
Provider Business Mailing Address Details
Address
111 S 11Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-4824
Phone Number
215-955-6226
Fax Number
215-923-1562
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301081071 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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