Subramanian, Vidya
Subramanian, Vidya is an individual health care provider with primary practice located at 1010 Spruce St Espanola Multi-Specialty Clinic, Espanola NM 87532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Subramanian, Vidya can be contacted via phone (505) 367-0340.Contact Information
Primary practice address
1010 Spruce St Espanola Multi-Specialty Clinic
Espanola NM 87532
Phone: (505) 367-0340
Fax: (505) 367-0346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2005-0040 | New Mexico |
Profile Details
| NPI number | 1073639977 |
|---|---|
| LBN Legal business name | Subramanian, Vidya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Aug 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073639977 | NPPES |
| New Mexico | MEDICAID | 3186831 |
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