Individual
DR. VAIRAVAN SARAVANAN SUBRAMANIAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4708 ALLIANCE BLVD, STE 685, PLANO, TX 75093
(972) 566-7765
(469) 467-9437
Mailing address
3600 GASTON AVE STE 1205, DALLAS, TX 75246-1812
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N8994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
663120
MEDICARE
TX
Enumeration date
09/03/2007
Last updated
07/03/2018
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