Individual
LALITHA SUBRAMANYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2021 N MACARTHUR BLVD, SUITE 515, IRVING, TX 75061-2222
(972) 259-3282
(972) 259-2033
Mailing address
2021 N MACARTHUR BLVD, SUITE 515, IRVING, TX 75061-2222
(972) 259-3282
(972) 259-2033
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M7667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210241001
—
TX
01
—
8BN460
BCBSTX
TX
Enumeration date
08/02/2008
Last updated
11/19/2013
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