Individual
PREM SAGAR SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1675 AURORA CT, AURORA, CO 80045-2517
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D0053757
MD
207W00000X
Ophthalmology Physician
DR.0055191
CO
207WX0109X
Neuro-ophthalmology Physician
Primary
DR.0055191
CO
Other
Enumeration date
07/13/2006
Last updated
01/12/2026
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