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General NPI Number Information
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NPI Number | 1669393476
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Entity Type | Organization
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Legal Business Name | BRUNO SUBBARAO PLLC
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 10903 W MCDOWELL RD
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City | AVONDALE
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State | AZ
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Zip | 85392-5240
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Country | US
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Telephone | 623-404-4417
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Fax | 623-404-4416
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Provider Business Mailing Address
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Address Line | 1717 E MORTEN AVE UNIT 36
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City | PHOENIX
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State | AZ
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Zip | 85020-4756
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Country | US
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Telephone | 412-478-9148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRUNO SHANKAR SUBBARAO
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Credential | DO
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Telephone | 412-478-9148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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