Individual
SUBRAMANIAM ANANDASIVAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
64 S PRICE RD, SUITE A, BROWNSVILLE, TX 78521-2459
(956) 548-2242
(956) 548-2262
Mailing address
64 S PRICE RD, SUITE A, BROWNSVILLE, TX 78521-2459
(956) 548-2242
(956) 548-2262
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K0605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030566601
—
TX
Enumeration date
04/27/2006
Last updated
05/25/2011
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