Malathy T. Sundaram, M. D. LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MALATHY T. SUNDARAM, M. D. LLC

Practice address

25A June St
Suite 111
Sanford, ME 04073-2642

Phone

(207) 324-5968

Fax

(207) 490-1758

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malathy T Sundaram, M. D.

Title

Doctor

Phone

(207) 324-5968

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1144487430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25A JUNE ST",
            "address_2": "SUITE 111",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732642",
            "telephone_number": "207-324-5968",
            "fax_number": "207-490-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25A JUNE ST",
            "address_2": "SUITE 111",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732642",
            "telephone_number": "207-324-5968",
            "fax_number": "207-490-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALATHY T. SUNDARAM, M. D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "SUNDARAM",
        "authorized_official_first_name": "MALATHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "207-324-5968",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Albert Joseph Mastraccio Jr., O.D.
• Briana McAndrew, O.D.

• Family Medicine Physician in Sanford, ME
• Providers in Sanford, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.