Individual
DR. RAJESH SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5414
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18209
MS
207RC0000X
Cardiovascular Disease Physician
MD60134221
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD60134221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031086
TLC
TN
01
—
0280775
STATE L&I
WA
01
—
0280786
STATE L&I
WA
01
—
0280801
STATE L&I
WA
01
—
06110013301
QUALCHOICE
—
05
—
06451269
—
MS
05
—
3896247
—
TN
01
—
4146205
BCBS
TN
01
—
7216564
AETNA
TN
01
—
99580
BCBS
AR
01
—
P00372270
RAIL ROAD MEDICARE
MS
01
—
P00378333
RAIL ROAD MEDICARE
TN
Enumeration date
12/27/2005
Last updated
06/09/2015
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