Individual
SUBBU NAGAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2615
(951) 782-3651
(951) 784-3260
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
(951) 782-5110
(951) 274-0403
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G70352
CA
2086S0127X
Trauma Surgery Physician
G70352
CA
2086S0129X
Vascular Surgery Physician
G70352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GROUP NPI
—
01
—
ZZZ31887Z
GROUP SITE NUMBER
—
Enumeration date
11/16/2005
Last updated
12/29/2010
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