Individual
DR. SUBRAMANYAM SEGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2409 STATE ST, ERIE, PA 16503-1856
(814) 452-6320
(814) 453-7966
Mailing address
2409 STATE ST, ERIE, PA 16503-1856
(814) 452-6320
(814) 453-7966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD036091L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141377
INDIVIDUAL BLUE SHIELD#
PA
Enumeration date
05/12/2006
Last updated
12/07/2007
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