Healthcare Provider Details

I. General information

NPI: 1275853640
Provider Name (Legal Business Name): SUBHASHINI APPULINGAM SELLERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 01/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 MASON FARM RD 4TH FLOOR BIOINFORMATICS BUILDING
CHAPEL HILL NC
27599-6134
US

IV. Provider business mailing address

130 MASON FARM RD 4TH FLOOR BIOINFORMATICS BUILDING
CHAPEL HILL NC
27599-6134
US

V. Phone/Fax

Practice location:
  • Phone: 732-500-4349
  • Fax:
Mailing address:
  • Phone: 732-500-4349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD448996
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2017-01858
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2017-01858
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: