Individual
DR. MANI SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2207 S CLEAR CREEK RD, SUITE 302, KILLEEN, TX 76549-4132
(254) 526-5353
(254) 554-5298
Mailing address
2207 S CLEAR CREEK RD, SUITE 302, KILLEEN, TX 76549-4132
(254) 526-5353
(254) 554-5298
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G4724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802209-01
—
TX
05
—
1802217-01
—
TX
01
—
8S4240
BCBSTX PROVIDER NUMBER
TX
Enumeration date
01/29/2007
Last updated
12/30/2014
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