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NPI Code Detail

MEDICARE: DR. SUBHASHINI C SUBRAMANIAM MD

MEDICARE: DR. SUBHASHINI C SUBRAMANIAM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician28330SC
2207RN0300XNephrology Physician28330SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780645101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUBHASHINI C SUBRAMANIAM MD
Provider Business Mailing Address
First Line : 322 N PINE ST
Second Line : SPARTANBURG NEPHROLOGY ASSOCIATES
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-5099
Fax Number : 864-327-1098
Provider Business Practice Location Address
First Line : 322 N PINE ST
Second Line : SPARTANBURG NEPHROLOGY ASSOCIATES
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-5099
Fax Number : 864-327-1098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 11/15/2021

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