Organization
VIDHYA SUBRAMANIAN, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDHYA SUBRAMANIAN M.D. (PHYSICIAN)
(832) 532-7514
Entity
Organization
Contact information
Practice address
4780 SWEETWATER BLVD, SUITE 100, SUGAR LAND, TX 77479-3162
(832) 532-7514
(832) 532-7801
Mailing address
PO BOX 18497, SUGAR LAND, TX 77496-8497
(832) 532-7514
(832) 532-7801
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M4568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M4568
TEXAS MEDICAL LICENSE
—
Enumeration date
06/17/2009
Last updated
11/10/2010
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