Viswanathan, Subhash R

Viswanathan, Subhash R is an individual health care provider with primary practice located at 555 N Broadway , Jericho NY 11753-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Viswanathan, Subhash R can be contacted via phone (516) 597-5070.

Contact Information

Primary practice address
555 N Broadway Jericho NY 11753-2134
Phone: (516) 597-5070
Fax: (516) 597-5067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07825900 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 248884 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C149731 California

Profile Details

NPI number 1508866542
LBN Legal business name Viswanathan, Subhash R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 8th, 2024 - about 9 months 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 1508866542 NPPES
New Jersey MEDICAID 0053783

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