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Individual

SUBRAMANIAM N SUBRAMANIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5221 US ROUTE 60 E, HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-0704
Mailing address
20 HOSPITAL DRIVE, LOGAN, WV 25601
(304) 831-1200
(304) 831-1633

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11707
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0123222000
WV
Enumeration date
04/21/2006
Last updated
07/18/2007
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