Individual
DR. TARUN JAYANT SUBRAHMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
531 ROSELANE ST NW, SUITE 830, MARIETTA, GA 30060-6979
(770) 794-0477
(770) 794-3108
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
073496
GA
207L00000X
Anesthesiology Physician
270324
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
073496
GA
207LP3000X
Pediatric Anesthesiology Physician
073496
GA
208VP0000X
Pain Medicine Physician
073496
GA
208VP0014X
Interventional Pain Medicine Physician
073496
GA
Other
Enumeration date
07/15/2010
Last updated
08/28/2019
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