Yadam, Subramanyam
Yadam, Subramanyam is an individual health care provider with primary practice located at 4201 Campus Ridge Drive , Midland MI 48640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Yadam, Subramanyam can be contacted via phone (989) 488-5450.Contact Information
Primary practice address
4201 Campus Ridge Drive
Midland MI 48640
Phone: (989) 488-5450
Fax: (989) 488-5455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | SY038909 | Michigan |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | SY038909 | Michigan |
Profile Details
| NPI number | 1023126448 |
|---|---|
| LBN Legal business name | Yadam, Subramanyam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2006 |
| Last updated | Nov 2nd, 2016 - about 9 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 | 1023126448 | NPPES |
| Michigan | Other | 2905610541 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 2120984 | BLUE CROSS BLUE SHIELD |
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