Subram, Aswath
Subram, Aswath is an individual health care provider with primary practice located at 3700 W 203Rd St #301, Olympia Fields IL 60461-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Subram, Aswath can be contacted via phone (708) 709-9402.Contact Information
Primary practice address
3700 W 203Rd St #301
Olympia Fields IL 60461-1180
Phone: (708) 709-9402
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036056131 | Illinois |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01045324A | Indiana |
Profile Details
NPI number | 1245277169 |
---|---|
LBN Legal business name | Subram, Aswath |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2006 |
Last updated | May 10th, 2024 - about last year |
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 | 1245277169 | NPPES |
Illinois | MEDICAID | 036056131 |
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