Individual
DR. GEETHA SUBRAMANYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 MEDICAL CENTER BLVD, SUITE 1300, WEBSTER, TX 77598-4052
(281) 557-2527
(281) 557-7203
Mailing address
1015 MEDICAL CENTER BLVD, SUITE 1300, WEBSTER, TX 77598-4052
(281) 557-2527
(281) 557-7203
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G6026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068LB
BCBS
TX
05
—
101250208
—
TX
01
—
2322391
BLUE LINK ID
TX
Enumeration date
01/27/2006
Last updated
02/28/2017
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