Individual
SUBRAMONIUM K DAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1013 MEDICAL CENTER PKWY, BUILDING 2, SELMA, AL 36701-6742
(334) 875-2266
(334) 875-2277
Mailing address
1013 MEDICAL CENTER PKWY, BUILDING 2, SELMA, AL 36701-6742
(334) 875-2266
(334) 875-2277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9535
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410132
UNTIDED HEALTHCARE
AL
01
—
510-07196
BLUE CROSS PROVIDER
AL
Enumeration date
04/06/2006
Last updated
07/09/2007
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