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:
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Health care specialties

SpecialtyCodeLicense #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 6 months 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 1245277169 NPPES
Illinois MEDICAID 036056131

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