NPI Code Details Logo

NPI 1366508814

NPI 1366508814 : SUBASHINI T FURMAN MD : CHEYENNE, WY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366508814
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SUBASHINI T FURMAN MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/29/2006
-----------------------------------------------------
    Last Update Date     |    05/16/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    310 E 24TH ST 
-----------------------------------------------------
    City                 |    CHEYENNE
-----------------------------------------------------
    State                |    WY
-----------------------------------------------------
    Zip                  |    82001-3126
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    307-634-9311
-----------------------------------------------------
    Fax                  |    307-634-5627
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    317 HAWTHORNE DR 
-----------------------------------------------------
    City                 |    PRINCETON
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47670-3356
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    281-844-7258
-----------------------------------------------------
    Fax                  |    812-885-3974
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085R0001X
-----------------------------------------------------
    Taxonomy Name        |    Radiation Oncology Physician
-----------------------------------------------------
    License Number       |    01065890A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    CDR.0001281
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2085R0001X
-----------------------------------------------------
    Taxonomy Name        |    Radiation Oncology Physician
-----------------------------------------------------
    License Number       |    10378A
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2085R0001X
-----------------------------------------------------
    Taxonomy Name        |    Radiation Oncology Physician
-----------------------------------------------------
    License Number       |    CDR.0001281
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.