Provider Demographics
NPI:1124071022
Name:SUBRAMANIAM, ARUMBI P, (MD)
Entity type:Individual
Prefix:DR
First Name:ARUMBI
Middle Name:P,
Last Name:SUBRAMANIAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARUMBI
Other - Middle Name:P
Other - Last Name:SUBRAMANIAM MD PC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PC
Mailing Address - Street 1:1090 AMSTERDAM AVE.
Mailing Address - Street 2:SUITE 7G
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-362-7160
Mailing Address - Fax:
Practice Address - Street 1:1090 AMSTERDAM AVE
Practice Address - Street 2:SUITE 7G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1737
Practice Address - Country:US
Practice Address - Phone:212-362-7160
Practice Address - Fax:212-362-2234
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122225208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00229956Medicaid
NY713311Medicare ID - Type Unspecified
NY00229956Medicaid