Rajkumar Sugumaran MD PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

46010 Issued in AZ

Legal business name

RAJKUMAR SUGUMARAN MD PLLC

Practice address

11124 W California Ave
# G
Youngtown, AZ 85363

Phone

(623) 583-2073

Fax

(623) 583-1099

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By 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

Rajkumar K Sugumaran, MD

Title

Owner

Phone

(623) 583-2073

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1447646146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853801149",
            "telephone_number": "623-583-5073",
            "fax_number": "623-583-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 W CALIFORNIA AVE",
            "address_2": "# G",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "85363",
            "telephone_number": "623-583-2073",
            "fax_number": "623-583-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJKUMAR SUGUMARAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "SUGUMARAN",
        "authorized_official_first_name": "RAJKUMAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-583-2073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "46010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Youngtown, AZ
• Providers in Youngtown, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.