Individual
SHIELA V SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
173 EAST AVENUE, NEW CAUAAN, CT 06840
(203) 972-4255
(203) 801-2126
Mailing address
173 EAST AVENUE, NEW CAUAAN, CT 06840
(203) 972-4255
(203) 801-2126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039463
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010039463CT01
ANTHEM BLUE CROSS
—
01
—
2873549
AETNA
—
01
—
521725543
UNITED HEALTH CARE
—
01
—
6160849003
CIGNA
—
01
—
P2639474
OXFORD
—
Enumeration date
11/27/2006
Last updated
04/04/2012
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