Individual
DR. NATRAJAN RAJ SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 264-2500
(352) 331-9095
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 264-2500
(352) 331-9095
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME104225
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME104225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001083200
—
FL
01
—
2459H
BLUE CROSS FLORIDA
FL
01
—
CM8550
MEDICARE RR
FL
Enumeration date
06/22/2007
Last updated
04/25/2013
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