Individual
INDIRA SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-7636
Mailing address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-7636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 14560 NP
OH
Other
Enumeration date
07/05/2013
Last updated
01/25/2022
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