Provider Demographics
NPI:1053645960
Name:SUNDARAM, VARUN
Entity Type:Individual
Prefix:
First Name:VARUN
Middle Name:
Last Name:SUNDARAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1872 COLTMAN RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1916
Mailing Address - Country:US
Mailing Address - Phone:216-399-3385
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVENUE LAKESIDE BUILDING, 3RD FLOOR
Practice Address - Street 2:UNIVERSITY HOSPITAL CASE MEDICAL CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-5912
Practice Address - Country:US
Practice Address - Phone:216-577-1261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.127822207RC0000X
OHNA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine