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Individual

TAARAN CARIAPPA BALLACHANDA SUBBAIAH

Active
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Individual

TAARAN CARIAPPA BALLACHANDA SUBBAIAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10622400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10622400
NJ DIVISION OF CONSUMER AFFAIRS, BOARD OF MEDICAL EXAMINERS
NJ
Enumeration date
06/30/2014
Last updated
06/08/2020
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