Subramani, Krishnaiyer

Subramani, Krishnaiyer is an sole proprietor health care provider with primary practice located at 500 Montauk Hwy Suite B, West Islip NY 11795-4418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Subramani, Krishnaiyer can be contacted via phone (631) 422-4343.

Contact Information

Primary practice address
500 Montauk Hwy Suite B West Islip NY 11795-4418
Fax: (631) 661-3775
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 170817 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 170817 New York

Profile Details

NPI number 1295794105
LBN Legal business name Subramani, Krishnaiyer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated May 22nd, 2008 - about 16 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 1295794105 NPPES
New York MEDICAID 01191208

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