Individual
DR. LATHA SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4048 LAUREL ST, STE 305, ANCHORAGE, AK 99508-5391
(907) 569-2627
(907) 569-2626
Mailing address
4048 LAUREL ST, STE 305, ANCHORAGE, AK 99508-5391
(907) 569-2627
(907) 569-2626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AA2285
AK
207RH0000X
Hematology (Internal Medicine) Physician
AA2285
AK
207RH0003X
Hematology & Oncology Physician
AA2285
AK
207RX0202X
Medical Oncology Physician
AA2285
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA2285
STATE LICENSE
AK
05
—
MD2285
—
AK
Enumeration date
02/01/2006
Last updated
03/07/2023
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