Organization
BAKKIAM SUBBIAH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKKIAM SUBBIAH MD (PRESIDENT)
(407) 765-3003
Entity
Organization
Contact information
Practice address
11074 CONISTON WAY, WINDERMERE, FL 34786-5408
(407) 765-3003
Mailing address
11074 CONISTON WAY, WINDERMERE, FL 34786-5408
(407) 765-3003
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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