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Individual

DR. SAMPATH SUBRAMANIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1658 CHAMPLIN AVE STE 335, UTICA, NY 13502-4830
(315) 624-4090
(315) 624-4095
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 917-9966
(731) 660-2570

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
051492
CT
208600000X
Surgery Physician
273432
NY
208600000X
Surgery Physician
Primary
55532
TN

Other

Enumeration date
05/12/2008
Last updated
01/24/2025
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