Individual
SHASHIDHAR SUBBANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2151 GRAMERCY PL, HUMMELSTOWN, PA 17036-7061
(717) 851-0867
Mailing address
2151 GRAMERCY PL, HUMMELSTOWN, PA 17036-7061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35080116
OH
Other
Enumeration date
11/13/2006
Last updated
11/14/2016
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