Individual
MUTHIAH SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4220 HOSPITAL DR, EAST CHINA, MI 48054-2200
(810) 329-4736
Mailing address
2656 BYRD ST, DEARBORN, MI 48124-4180
(313) 271-4654
(313) 271-3442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301061409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108200562
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/25/2006
Last updated
07/08/2007
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