1124071022 NPI number — DR. ARUMBI P, SUBRAMANIAM MD

Table of content: DR. ARUMBI P, SUBRAMANIAM MD (NPI 1124071022)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124071022 NPI number — DR. ARUMBI P, SUBRAMANIAM MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SUBRAMANIAM
Provider First Name:
ARUMBI
Provider Middle Name:
P,
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SUBRAMANIAM MD PC
Provider Other First Name:
ARUMBI
Provider Other Middle Name:
P.
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD. PC.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1124071022
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1090 AMSTERDAM AVE.
Provider Second Line Business Mailing Address:
SUITE 7G
Provider Business Mailing Address City Name:
NY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-362-7160
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1090 AMSTERDAM AVE
Provider Second Line Business Practice Location Address:
SUITE 7G
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025-1737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-362-7160
Provider Business Practice Location Address Fax Number:
212-362-2234
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  122225 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00229956 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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