Subramanian, Kavitha

Subramanian, Kavitha is an individual health care provider with primary practice located at 698 Featherstone Rd , Rockford IL 61107-6303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Subramanian, Kavitha can be contacted via phone (815) 398-3277.

Contact Information

Primary practice address
698 Featherstone Rd Rockford IL 61107-6303
Phone: (815) 398-3277
Fax: (815) 484-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 36117270 Illinois

Profile Details

NPI number 1891817441
LBN Legal business name Subramanian, Kavitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Sep 15th, 2009 - about 15 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 1891817441 NPPES
Illinois MEDICAID 036117270

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