Individual
RATHAN M SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MPH
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(617) 538-6800
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
235135
MA
2085N0700X
Neuroradiology Physician
235135
MA
2085N0904X
Nuclear Radiology Physician
235135
MA
2085R0202X
Diagnostic Radiology Physician
D73493
MD
2085R0202X
Diagnostic Radiology Physician
Primary
Q6990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051203600
—
MD
Enumeration date
04/03/2007
Last updated
03/15/2016
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