Organization
SUBBU HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUBRAMANIAN VARADARAJAN ANP-BC (NURSE PRACTITIONER)
(301) 434-5590
Entity
Organization
Contact information
Practice address
10309 GLENMORE DR, ADELPHI, MD 20783-1202
(301) 434-5590
(301) 434-5590
Mailing address
10309 GLENMORE DR, ADELPHI, MD 20783-1202
(301) 434-5590
(301) 434-5590
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
W13537113
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DCN 602500730
CMS MEDICARE
—
Enumeration date
02/28/2011
Last updated
02/28/2011
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