Shankar M Sundaram (NPI# 1730138892, PAC ID# 7214925460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1730138892 |
| PAC ID by PECOS | 7214925460 |
| Professional Enrollment ID | I20160509000560 |
| Full Name | Shankar M Sundaram |
| Organization Legal Name | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| Address |
1111 Broadway Suite 305 Chula Vista CA 91911-2700 |
| Phone Number | 6195677007 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1994 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | THORACIC SURGERY |
| Group Practice PAC ID | 5991012130 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050115 | PALOMAR HEALTH DOWNTOWN CAMPUS |
| 050636 | POMERADO HOSPITAL |
| 050024 | PARADISE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1111 Broadway, Suite 305, Chula Vista, CA 91911-2700 | 6195677007 | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 6195677007 | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| 387 A N Escondido Blvd, Escondido, CA 92025-2624 | 7608844500 | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| 2400 E 4 St, National City, CA 91950-2026 | 6195677007 | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| 15615 Pomerado Rd, Poway, CA 92064-2405 | 6195677007 | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| 15615 Pomerado Rd, Suite 200, Poway, CA 92064-2405 | 6195677007 | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| Organization Legal Name | SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Emory Yi | General Surgery | Sasha Salloum Md Inc A Professional Medical Corporation | 1111 Broadway, Suite 305, Chula Vista, CA 91911-2700 |
| Alexander C Salloum | Vascular Surgery | Sasha Salloum Md Inc A Professional Medical Corporation | 435 H St, Chula Vista, CA 91910-4307 |
| Marc A Hare | Emergency Medicine | Sasha Salloum Md Inc A Professional Medical Corporation | 1111 Broadway, Suite 305, Chula Vista, CA 91911-2700 |
| Iran M Felix | Nurse Practitioner | Sasha Salloum Md Inc A Professional Medical Corporation | 1111 Broadway, Suite 305, Chula Vista, CA 91911-2700 |
| Mirka A Radman | Nurse Practitioner | Sasha Salloum Md Inc A Professional Medical Corporation | 435 H St, Chula Vista, CA 91910-4307 |
| Street Address |
1111 BROADWAY SUITE 305 |
| City | CHULA VISTA |
| State | CA |
| Zip | 91911-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Emory Yi | General Surgery | Sasha Salloum Md Inc A Professional Medical Corporation | 1111 Broadway, Suite 305, Chula Vista, CA 91911-2700 |
| Marc A Hare | Emergency Medicine | Sasha Salloum Md Inc A Professional Medical Corporation | 1111 Broadway, Suite 305, Chula Vista, CA 91911-2700 |
| Iran M Felix | Nurse Practitioner | Sasha Salloum Md Inc A Professional Medical Corporation | 1111 Broadway, Suite 305, Chula Vista, CA 91911-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny Weiser | Psychologist, Clinical | 815 3rd Ave, Suite 107, Chula Vista, CA 91911-1308 | |
| Don E Miller | Psychologist, Clinical | 815 3rd Ave, Suite 307, Chula Vista, CA 91911-1310 | |
| Georges M Argoud | Endocrinology | San Diego Coastal Endocrinology Group, A Medical Corporation | 855 3rd Ave, Suite 1110, Chula Vista, CA 91911-1350 |
| Lauren Anderson | Psychiatry | Community Research Foundation Inc | 835 3rd Ave C, Chula Vista, CA 91911-1352 |
| Hamid D Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave A, Chula Vista, CA 91911-1352 |
| Nasrin Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Patrick Pakan Sassani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Majid Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Tayson De Lengocky | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Ayham R Skaf | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Find all physicians in zip 91911 | |||
| City | CHULA VISTA |
| Zip Code | 91911 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | CHULA VISTA + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Shankar M 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.