Individual
MAHESH R SUBBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2851 S AVENUE B STE 1201, YUMA, AZ 85364-7745
(928) 329-7000
(928) 329-9303
Mailing address
2851 S AVENUE B STE 1201, YUMA, AZ 85364-7745
(928) 329-7000
(928) 329-9303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891855
—
AZ
Enumeration date
08/23/2006
Last updated
07/21/2022
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