Individual
APURVA SUBBASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 PROVIDENCE WAY STE 200, NICHOLASVILLE, KY 40356
(859) 260-5370
(859) 260-5370
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 498-8160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51199
KY
208000000X
Pediatrics Physician
51199
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100534790
—
KY
Enumeration date
04/10/2014
Last updated
03/08/2021
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