Subramanian, Nanjappa

Subramanian, Nanjappa is an sole proprietor health care provider with primary practice located at 2215 Nebraska Ave Suite 1 E, Fort Pierce FL 34950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Subramanian, Nanjappa can be contacted via phone (772) 461-2555.

Contact Information

Primary practice address
2215 Nebraska Ave Suite 1 E Fort Pierce FL 34950
Fax: (772) 461-0775
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 037901 Florida

Profile Details

NPI number 1063486686
LBN Legal business name Subramanian, Nanjappa
Credentials MD FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Feb 21st, 2017 - about 7 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 1063486686 NPPES
Florida MEDICAID 067226200

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