Individual
PRAMILLA N SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 712-1705
Mailing address
4725 LAKE VILLA DR, METAIRIE, LA 70002-1323
(504) 304-1461
(504) 304-0522
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD.014426
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328235
—
LA
Enumeration date
06/17/2006
Last updated
09/02/2015
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