# BRUNO SUBBARAO PLLC

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

## Provider details

- **NPI number:** 1669393476
- **Authorized official:** BRUNO SHANKAR SUBBARAO DO (OWNER)
- **Authorized official phone:** (412) 478-9148

## Contact information

- **Practice address:** 10903 W MCDOWELL RD, AVONDALE, AZ 85392-5240
- **Practice address phone:** (623) 404-4417
- **Practice address fax:** (623) 404-4416
- **Mailing address:** 1717 E MORTEN AVE UNIT 36, PHOENIX, AZ 85020-4756
- **Mailing address phone:** (412) 478-9148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2026
- **Last updated:** 07/25/2026