IndividualActive
Abhishek Sundaram, M.B.B.S
NPI 1104055839 · Vascular Surgery Physician · Grafton, WI
Provider details
- NPI number
- 1104055839
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S
- Sex
- Male
- Sole proprietor
- Yes
- License
- 68978 (WI)
Practice location
975 Port Washington Rd
Grafton, WI 53024-9201
Phone: (262) 329-1000
Fax: (262) 329-1001
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Registry dates
- Enumerated
- 2009-07-01
- Last updated
- 2024-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.