Organization
ANCHORAGE ONCOLOGY CENTRE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATHA SUBRAMANIAN M.D. (MEMBER)
(907) 569-2627
Entity
Organization
Contact information
Practice address
4231 LAKE OTIS PKWY, SUITE B2, ANCHORAGE, AK 99508-5214
(907) 569-2627
(907) 569-2626
Mailing address
4231 LAKE OTIS PKWY, SUITE B2, ANCHORAGE, AK 99508-5214
(907) 569-2627
(907) 569-2626
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
AA2285
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA2285
STATE MEDICAL LICENSE
AK
05
—
MD2285
—
AK
Enumeration date
02/21/2007
Last updated
03/07/2023
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