Jayakumar, Subramoniam

Jayakumar, Subramoniam is an individual health care provider with primary practice located at 764 Locust Ave , Washington PA 15301-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jayakumar, Subramoniam can be contacted via phone (724) 228-1303.

Contact Information

Primary practice address
764 Locust Ave Washington PA 15301-2756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD035880L Pennsylvania

Profile Details

NPI number 1326037979
LBN Legal business name Jayakumar, Subramoniam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326037979 NPPES
Ohio MEDICAID 0457054
Ohio MEDICAID 0007992620001
Ohio MEDICAID 0076681000

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