Individual
SUBBA M RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 BUSH RIVER RD, SUITE 5, COLUMBIA, SC 29210
(803) 551-2900
(803) 551-2979
Mailing address
PO BOX 9426, COLUMBIA, SC 29290-9426
(803) 551-2900
(803) 551-2979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236177
—
SC
Enumeration date
10/05/2006
Last updated
11/11/2010
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