Anand Venkatraman Sundararaman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2008-01305 Issued in NC

Practice address

1925 W Park Dr
N Wilkesboro, NC 28659-3564

Phone

(336) 903-0147

Fax

(336) 903-1687

NPI assigned

Apr 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anand V.S. Raman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: raman.anand.001.0330023@wpc.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wilkes Pediatric Clinic, PLLC

  • Pediatrics Physician
  • North Wilkesboro, NC
  • NPI 1659487502
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1891969101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W PARK DR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593564",
            "telephone_number": "336-903-0147",
            "fax_number": "336-903-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W PARK DR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593564",
            "telephone_number": "336-903-0147",
            "fax_number": "336-903-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARARAMAN",
        "first_name": "ANAND",
        "middle_name": "VENKATRAMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2008-01305",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "2008-01305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANAND",
            "last_name": "RAMAN",
            "middle_name": "V.S.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Flye Segee, LPA
• Zachary Shepherd
• Jeanette Shumate, RN
• Mugurel Lucian Sorescu, M.D.
• Special Care for Special Kids Inc
• Joel H. Swofford, MD
• Lynne Taras
• Heather Norene Thornburg, NP
• Triad Therapy Mental Health Center
• Triumph LLC

• Pediatrics Physician in N Wilkesboro, NC
• Providers in N Wilkesboro, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.