Healthcare Provider Details

I. General information

NPI: 1104136894
Provider Name (Legal Business Name): DHARMINA SUBRAMANIAM CNIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MARYLAND FARMS STE 200
BRENTWOOD TN
37027
US

IV. Provider business mailing address

3 MARYLAND FARMS STE 200
BRENTWOOD TN
37027-5780
US

V. Phone/Fax

Practice location:
  • Phone: 615-345-5400
  • Fax: 888-468-6603
Mailing address:
  • Phone: 615-345-5400
  • Fax: 888-468-6603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: