Individual
SUBBA RAO NAGUBADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 GLENDALE BLVD, STE 111, VALPARAISO, IN 46383-3767
(219) 464-1001
(219) 465-7426
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-4004
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01032523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208510A
—
IN
Enumeration date
07/29/2005
Last updated
05/26/2021
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