Individual
SONAL M SUBBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2150 W 24TH ST, YUMA, AZ 85364-6122
(928) 819-7000
(928) 329-9303
Mailing address
2150 W 24TH STREET, YUMA, AZ 85364
(928) 819-7000
(928) 329-9303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33107
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81968
—
AZ
Enumeration date
08/24/2006
Last updated
02/27/2012
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