Individual
CARLOS SUBAUSTE
Active
Individual
CARLOS SUBAUSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35072126
OH
207RI0200X
Infectious Disease Physician
Primary
35072126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224445
UNISON
OH
01
—
000000539608
ANTHEM
OH
05
—
2044095
—
OH
01
—
364064
WELLCARE
OH
01
—
5606609
AETNA
OH
01
—
751186
BUCKEYE
OH
01
—
P00620405
RAILROAD MEDICARE
OH
Enumeration date
07/03/2006
Last updated
12/17/2020
Update your record
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