MEDICARE: DR. SREEKUMAR SUBRAMANIAN MD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	52259	TN

General Provider Information

NPI Number	:	1801888680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SREEKUMAR SUBRAMANIAN MD

Provider Business Mailing Address
First Line	:	2400 PATTERSON ST
Second Line	:	SUITE 307
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1562
Country	:	US
Telephone Number	:	615-342-6900
Fax Number	:	615-342-6899

Provider Business Practice Location Address
First Line	:	2400 PATTERSON ST
Second Line	:	SUITE 307
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1562
Country	:	US
Telephone Number	:	615-342-6900
Fax Number	:	615-342-6899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	01/27/2022

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