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NPI Code Detail

MEDICARE: NANJUNDA SWAMY SUBRAMANYAM M.D.

MEDICARE: NANJUNDA SWAMY SUBRAMANYAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician6477NV

General Provider Information

NPI Number : 1043274459
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANJUNDA SWAMY SUBRAMANYAM M.D.
Provider Business Mailing Address
First Line : 2517 SUN REEF RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-6880
Country : US
Telephone Number : 702-363-5392
Fax Number : 702-233-5860
Provider Business Practice Location Address
First Line : 2031 N BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0269
Country : US
Telephone Number : 702-383-2650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/08/2007

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Directions to “ NANJUNDA SWAMY SUBRAMANYAM M.D.” Practice Location

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