Organization
SUBRAMANYAM SEGU, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE M PATTERSON (MANAGER)
(814) 452-6320
Entity
Organization
Contact information
Practice address
2409 STATE ST, ERIE, PA 16503-1856
(814) 452-6320
(814) 453-7966
Mailing address
2409 STATE ST, ERIE, PA 16503-1856
(814) 452-6320
(814) 453-7966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD036091L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
875995
BLUE SHIELD GROUP #
PA
Enumeration date
02/15/2007
Last updated
12/07/2007
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