Sudha Thangam Somasundaravelayudham, M.D.
Hospitalist in Dallas, TX. Individual provider (NPI-1).
NPI number1760699730
StatusActive
Last updated in NPPESDec 2, 2014
Details
- NPI
- 1760699730
- Entity type
- Individual (NPI-1)
- Name
- Sudha Thangam Somasundaravelayudham
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2007
- Last updated
- Dec 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | N1156 | TX | Yes |
| 207R00000X | Internal Medicine | N1156 | TX |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7208
Phone 214-648-9741 · Fax 214-648-9531
Mailing address
Po Box 845347Dallas, TX 75284-5347
Phone 214-648-9741 · Fax 214-648-9531
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