Subramanium, Anandaraj

Subramanium, Anandaraj is an individual health care provider with primary practice located at 1809 Ozarka College Drive , Mountain View AR 72560-1198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Subramanium, Anandaraj can be contacted via phone (870) 269-7777.

Contact Information

Primary practice address
1809 Ozarka College Drive Mountain View AR 72560-1198
Fax: (870) 269-5055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-4624 Arkansas

Profile Details

NPI number 1194767657
LBN Legal business name Subramanium, Anandaraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 17th, 2013 - about 11 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 1194767657 NPPES
Arkansas Other E-4624 LICENSE

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