Physician Compare National (NPI:1508990938)

HEALTHCARE PROVIDER: NAVIN SUBRAMANIAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508990938
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517052574
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071005000101
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUBRAMANIAN
	Individual professional last name
Provider First Name	NAVIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5420 W LOOP S
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2300
	Group Practice or individual's line 2 address
City	BELLAIRE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	774012118
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450684
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HERMANN NORTHEAST
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450068
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HERMANN - TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	670005
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450775
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	KINGWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1508990938)

HEALTHCARE PROVIDER: NAVIN SUBRAMANIAN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information