Elango, Subha
Elango, Subha is an individual health care provider with primary practice located at 2330 S Dixon Rd , Kokomo IN 46902-6411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elango, Subha can be contacted via phone (765) 455-5400.Contact Information
Primary practice address
2330 S Dixon Rd
Kokomo IN 46902-6411
Phone: (765) 455-5400
Fax: (765) 865-3826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 57011197 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01067440 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01067440A | Indiana |
Profile Details
| NPI number | 1841465994 |
|---|---|
| LBN Legal business name | Elango, Subha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Dec 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841465994 | NPPES |
| Indiana | MEDICAID | 200967690 |
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