Provider Demographics
NPI:1699122671
Name:RAMCHANDRAN, SUBARAMAN (MD)
Entity type:Individual
Prefix:MR
First Name:SUBARAMAN
Middle Name:
Last Name:RAMCHANDRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NICKLAUS CHILDREN'S HOSPITAL
Mailing Address - Street 2:3100 SW 62ND AVENUE
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155
Mailing Address - Country:US
Mailing Address - Phone:434-964-6282
Mailing Address - Fax:
Practice Address - Street 1:NICKLAUS CHILDREN'S HOSPITAL
Practice Address - Street 2:3100 SW 62ND AVENUE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:434-964-6282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP01725207XS0117X
FLME139168207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine