Individual
VINODHINI M SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1690
(315) 470-7111
Mailing address
PO BOX 723, BRIDGEPORT, NY 13030-0723
(315) 288-0317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239999
NY
207R00000X
Internal Medicine Physician
A82592
CA
207R00000X
Internal Medicine Physician
EL91030
ME
207R00000X
Internal Medicine Physician
MD18338
ME
208M00000X
Hospitalist Physician
Primary
239999
NY
208M00000X
Hospitalist Physician
285927
MA
208M00000X
Hospitalist Physician
MD18338
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39485714
—
CO
05
—
46871837
—
NM
05
—
913170
—
AZ
Enumeration date
10/14/2005
Last updated
11/19/2024
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