Individual
ANANDARAJ SUBRAMANIUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1809 OZARKA COLLEGE DRIVE, MOUNTAIN VIEW, AR 72560-1198
(870) 269-7777
(870) 269-5055
Mailing address
PO BOX 1198, MOUNTAIN VIEW, AR 72560-1198
(870) 269-7777
(870) 269-5055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4624
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-4624
LICENSE
AR
Enumeration date
06/11/2006
Last updated
12/17/2013
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