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Individual

DR. VIJAY SUBRAMANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5544
(813) 844-1655
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7000

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
2018015543
MO
204F00000X
Transplant Surgery Physician
Primary
ME142289
FL
208600000X
Surgery Physician
2018015543
MO

Other

Enumeration date
06/29/2013
Last updated
08/16/2022
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