Individual
DR. KALYANI GANJIGUNTE SUBRAMANYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 BOBALA RD, HOLYOKE, MA 01040-9632
(413) 536-5473
Mailing address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 536-5473
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
047953
CT
2084P0800X
Psychiatry Physician
Primary
248956
MA
Other
Enumeration date
12/24/2007
Last updated
08/22/2011
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