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PREETHI SUBRAMANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(312) 912-7574
Mailing address
8117 PRESTON RD, SUITE 800, DALLAS, TX 75225-6332
(312) 709-2879

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48663
AZ
207RN0300X
Nephrology Physician
Primary
48663
AZ

Other

Enumeration date
09/05/2012
Last updated
01/09/2023
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