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Individual

DR. VENKAT SUBRAMANYAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 679-2147
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 679-2147

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
067505
CT
207P00000X
Emergency Medicine Physician
302938
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
067505
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2017
Last updated
03/28/2023
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