Individual
THANUJAA SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
MD18446
RI
2084N0400X
Neurology Physician
6350-851
WI
2084N0400X
Neurology Physician
68740-20
WI
2084N0400X
Neurology Physician
Primary
83602
CT
390200000X
Student in an Organized Health Care Education/Training Program
1.056662-RES
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83602
MEDICAL LICENSE
CT
01
—
MD18446
STATE LICENSE
RI
Enumeration date
06/30/2016
Last updated
04/03/2026
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