Basic Information
| Provider Information | |||||||||
| NPI: | 1427314228 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SUNDARAM | ||||||||
| FirstName: | VARUNA | ||||||||
| MiddleName: | MEENAKSHI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2500 BERNVILLE RD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196059453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103782499 | ||||||||
| FaxNumber: | 6103782989 | ||||||||
| Practice Location | |||||||||
| Address1: | 2494 BERNVILLE RD | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196059469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103782499 | ||||||||
| FaxNumber: | 6103782989 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2012 | ||||||||
| LastUpdateDate: | 09/24/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2086S0129X | MD453131 | PA | Y | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
No ID Information.