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NPI Code Detail

MEDICARE: MURUGANANTHAN PUDUNAGAR SUBBIAH M.D.

MEDICARE: MURUGANANTHAN PUDUNAGAR SUBBIAH 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
1207R00000XInternal Medicine Physician200401337NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15634780OTHERNCFIRST HEALTH
22513533OTHERNCUNITED HEALTHCARE
3D8290OTHERNCMEDCOST
47942627OTHERNCAETNA
51337JOTHERNCBCBS OF NC
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
79201803OTHERNCCIGNA

General Provider Information

NPI Number : 1740252469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MURUGANANTHAN PUDUNAGAR SUBBIAH M.D.
Provider Business Mailing Address
First Line : 180 PARKWOOD DR
Second Line :
City : ELKIN
State : NC
Zip : 28621-2430
Country : US
Telephone Number : 336-527-7000
Fax Number : 336-526-6056
Provider Business Practice Location Address
First Line : 180 PARKWOOD DR
Second Line :
City : ELKIN
State : NC
Zip : 28621-2430
Country : US
Telephone Number : 336-527-7000
Fax Number : 336-526-6056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 05/16/2022

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