Individual
PREM SAGAR SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
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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