# SUBBA RAO MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255596318
- **Authorized official:** DR. SUBBA RAO M.D. (PRESIDENT)
- **Authorized official phone:** (630) 887-7073

## Contact information

- **Practice address:** 17850 KEDZIE AVE, SUITE 3000, HAZEL CREST, IL 60429-2058
- **Practice address phone:** (708) 798-7878
- **Practice address fax:** (630) 887-9566
- **Mailing address:** PO BOX 22, HINSDALE, IL 60522-0022
- **Mailing address phone:** (630) 887-7073
- **Mailing address fax:** (630) 887-9566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 07/02/2009