Individual
BABU SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8024 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 234-8950
(843) 234-8951
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
1216
VI
2084N0400X
Neurology Physician
101050
WI
2084N0400X
Neurology Physician
2012-02068
NC
2084N0400X
Neurology Physician
Primary
91046
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910465
—
SC
Enumeration date
04/05/2006
Last updated
04/17/2024
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