Healthcare Provider Details

I. General information

NPI: 1194654699
Provider Name (Legal Business Name): SUBRAMANI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 E WARM SPRINGS RD STE 105
LAS VEGAS NV
89119-4283
US

IV. Provider business mailing address

340 E WARM SPRINGS RD STE 105
LAS VEGAS NV
89119-4283
US

V. Phone/Fax

Practice location:
  • Phone: 702-760-8333
  • Fax:
Mailing address:
  • Phone: 702-760-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KARTHIKEYAN SUBRAMANI
Title or Position: OWNER
Credential: BDS, MSC, MS
Phone: 702-760-8333