Subramanyam, Sujata

Subramanyam, Sujata is an sole proprietor health care provider with primary practice located at 530 New Brunswick Ave , Perth Amboy NJ 08861-3674. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Subramanyam, Sujata can be contacted via phone (732) 442-3700.

Contact Information

Primary practice address
530 New Brunswick Ave Perth Amboy NJ 08861-3674
Phone: (732) 442-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05168000 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA0516800 New Jersey

Profile Details

NPI number 1437144243
LBN Legal business name Subramanyam, Sujata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Feb 8th, 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 1437144243 NPPES
New Jersey MEDICAID 7073500

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