Individual
KAVITHA SUBRAMONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, UH 1501, INDIANAPOLIS, IN 46202-5147
(317) 948-1310
(317) 948-0503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070772A
IN
207R00000X
Internal Medicine Physician
125.056873
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01070772A
IN
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
01070772A
IN
208M00000X
Hospitalist Physician
01070772A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201064670
—
IN
01
—
M400069887
MEDICARE PTAN
IN
Enumeration date
08/26/2009
Last updated
03/12/2025
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