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Individual

HAMSA N SUBRAMANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
425 N NEW BALLAS RD STE 203, SAINT LOUIS, MO 63141-6814
(314) 872-3104
(314) 994-7105
Mailing address
425 N NEW BALLAS RD STE 203, SAINT LOUIS, MO 63141-6814
(314) 872-3104
(314) 994-7105

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
107809
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0406114
UNITED HEALTHCARE
MO
01
128761
BLUE CROSS BLUE SHIELD
MO
01
227978
GROUP HEALTH PLAN
MO
01
409550
HEALTHLINK
MO
01
567993
CIGNA HEALTH PLAN
MO
01
7258195
AETNA
MO
Enumeration date
05/08/2006
Last updated
03/16/2021
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