Individual
AMARNATH SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4796
(651) 254-2741
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
40168
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755223800
—
MN
Enumeration date
02/22/2006
Last updated
03/22/2021
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