Individual
SUBODH C. DEBNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 W MARKET ST, CRAWFORDSVILLE, IN 47933-1600
(765) 362-4893
(765) 362-5241
Mailing address
PO BOX 684, CRAWFORDSVILLE, IN 47933-0684
(765) 362-4893
(765) 362-5241
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01031718
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000008828
BLUE CROSS BLUE SHIELD
IN
05
—
100185820
—
IN
Enumeration date
07/28/2005
Last updated
09/02/2008
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