Individual
RAJESH SUBRAMANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1100 BELK BLVD, OXFORD, MS 38655
(662) 636-1000
Mailing address
588 CALEDONIA RD, DIX HILLS, NY 11746-5123
(516) 574-9445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26046
MS
Other
Enumeration date
06/13/2016
Last updated
05/01/2019
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