| Ponnambalam S Sundram, MD | |
|
71 W 156th St, Ste 305, Harvey, IL 60426-4260 | |
| (708) 331-2200 | |
| (708) 331-8015 |
| Full Name | Ponnambalam S Sundram |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 71 W 156th St, Harvey, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437137478 | NPI | - | NPPES |
| 0360705655 | Medicaid | IL | |
| 060058942 | Other | IL | PALMETTO RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036070565 (Illinois) | Primary |
| Entity Name | Advanced Heart Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518945989 PECOS PAC ID: 8022921816 Enrollment ID: O20031107000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Ponnambalam S Sundram, MD 71 W 156th St, Ste 305, Harvey, IL 60426-4260 Ph: (708) 331-2200 | Ponnambalam S Sundram, MD 71 W 156th St, Ste 305, Harvey, IL 60426-4260 Ph: (708) 331-2200 |
Angel Castaner, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 71 W 156th St, Ste 305, Harvey, IL 60426 Phone: 708-331-2200 Fax: 708-331-8015 | |
Mark F Kozloff, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 71 W 156th St, Suite 401, Harvey, IL 60426 Phone: 708-339-4800 Fax: 708-339-3760 | |
Dr. Paul S Bierman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 888-824-0200 | |
Dr. Karen Elisabeth Deffenbacher, M.D., PH.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 71 W 156th St Ste 305, Harvey, IL 60426 Phone: 708-331-2200 | |
Janet Vokoun Starck, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-331-1360 | |
Sushil A Sheth, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 630-321-0097 Fax: 630-321-0909 | |
Dr. Ripple Rajesh Doshi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 71 W 156th St Ste 305, Harvey, IL 60426 Phone: 708-331-2200 Fax: 708-331-8015 |