Varun Sundaram (NPI# 1467895342, PAC ID# 3375899727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1467895342 |
| PAC ID by PECOS | 3375899727 |
| Professional Enrollment ID | I20180824002909 |
| Full Name | Varun Sundaram |
| Organization Legal Name | CENTER FOR MENS AND WOMENS UROLOGY LLC |
| Address |
24076 Se Stark Suite 310 Gresham OR 97030-3162 |
| Phone Number | 5034926510 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8123115722 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380060 | ADVENTIST MEDICAL CENTER |
| 380001 | MID-COLUMBIA MEDICAL CENTER |
| 380082 | PROVIDENCE MILWAUKIE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24076 Se Stark, Suite 310, Gresham, OR 97030-3162 | 5034926510 | CENTER FOR MENS AND WOMENS UROLOGY LLC |
| Organization Legal Name | CENTER FOR MENS AND WOMENS UROLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Landers | Physician Assistant | Center for Mens and Womens Urology LLC | 24076 Se Stark, Suite 310, Gresham, OR 97030-3162 |
| Melanie Crites Bachert | Urology | Center for Mens and Womens Urology LLC | 24076 Se Stark, Suite 310, Gresham, OR 97030-3162 |
| Shammai Rockove | Urology | Center for Mens and Womens Urology LLC | 24076 Se Stark, Suite 310, Gresham, OR 97030-3162 |
| Street Address |
24076 SE STARK SUITE 310 |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Landers | Physician Assistant | Center for Mens and Womens Urology LLC | 24076 Se Stark, Suite 310, Gresham, OR 97030-3162 |
| Melanie Crites Bachert | Urology | Center for Mens and Womens Urology LLC | 24076 Se Stark, Suite 310, Gresham, OR 97030-3162 |
| Shammai Rockove | Urology | Center for Mens and Womens Urology LLC | 24076 Se Stark, Suite 310, Gresham, OR 97030-3162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | UROLOGY |
| City + Specialty | GRESHAM + UROLOGY |
Please comment or provide details below to improve the information on Varun Sundaram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.