Pujara, Subhash S

Pujara, Subhash S is an sole proprietor health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Pujara, Subhash S can be contacted via phone (706) 724-6100.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 724-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 032638 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 032638 Georgia

Profile Details

NPI number 1083610448
LBN Legal business name Pujara, Subhash S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Sep 18th, 2014 - about 10 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 1083610448 NPPES
Georgia MEDICAID 000971242C
Georgia MEDICAID 000971242B

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