Individual
DR. SUBRAMANIYAM RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5920 W WILLIAM CANNON DR STE 150, AUSTIN, TX 78749-1902
(512) 977-0123
(512) 977-0126
Mailing address
PO BOX 117655, CARROLLTON, TX 75011-7655
(512) 674-9025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q1482
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
Q1482
TX
207RP1001X
Pulmonary Disease Physician
Q1482
TX
Other
Enumeration date
04/16/2010
Last updated
07/25/2022
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