Individual
DEEPA S SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR ROAD NW, PODIUM B LOMBARDI, WASHINGTON, DC 20007
(202) 444-2198
(202) 444-2886
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD035067
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038891700
—
DC
05
—
1588864441
—
VA
01
—
P00616349
RAILROAD MEDICARE
DC
Enumeration date
07/19/2007
Last updated
03/15/2012
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