Individual
DR. RAKESH K SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845-0025
(260) 266-5260
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060984
IL
207RP1001X
Pulmonary Disease Physician
Primary
01081937A
IN
Other
Enumeration date
07/01/2012
Last updated
10/12/2022
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