Individual
SUBHASH C PROOTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 OSTRUM ST, STE 403, FOUNTAIN HILL, PA 18015-1155
(610) 867-3115
(610) 867-6991
Mailing address
701 OSTRUM ST, STE 403, FOUNTAIN HILL, PA 18015-1155
(610) 867-3115
(610) 867-6991
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD022180E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006772140001
—
PA
Enumeration date
09/01/2005
Last updated
04/05/2013
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