Sridhar, Subbaramiah

Sridhar, Subbaramiah is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sridhar, Subbaramiah can be contacted via phone (706) 721-2238.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 046651 Georgia

Profile Details

NPI number 1548371024
LBN Legal business name Sridhar, Subbaramiah
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 3rd, 2012 - about 12 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 1548371024 NPPES
South Carolina MEDICAID G46651
South Carolina MEDICAID 000822027A

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