Individual
DR. THEVARAYA N SUBBIAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 S WASHINGTON ST, BUTLER, PA 16001-5752
(724) 283-6668
(724) 283-6625
Mailing address
122 S WASHINGTON ST, BUTLER, PA 16001-5752
(724) 283-6668
(724) 283-6625
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
021876E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006762710004
—
PA
01
—
0074172
AETNA
PA
01
—
1008654
GATEWAY
PA
01
—
76451
HEALTH AMERICA
PA
Enumeration date
05/27/2006
Last updated
07/08/2007
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