Sakthiraj Subramanian, MD | |
5700 E Interstate 20 Service Rd S, Suite 100, Willow Park, TX 76008-5115 | |
(817) 489-7300 | |
(181) 748-9730 |
Full Name | Sakthiraj Subramanian |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 5700 E Interstate 20 Service Rd S, Willow Park, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669676326 | NPI | - | NPPES |
2747184 | Medicaid | OH | |
P00462034 | Other | OH | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-088941 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Renew Home Health | Fort worth, TX | Home health agency |
Encompass Home Health Of North Central Texas | Fort worth, TX | Home health agency |
Kindred At Home | Weatherford, TX | Home health agency |
Medical City Weatherford | Weatherford, TX | Hospital |
Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dallas Medical Specialists, Pllc | 3072895788 | 35 |
Entity Name | Timberland Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528061157 PECOS PAC ID: 7719875491 Enrollment ID: O20040514000302 |
Entity Name | Dallas Medical Specialists, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508217811 PECOS PAC ID: 3072895788 Enrollment ID: O20170112001818 |
Mailing Address | Practice Location Address |
---|---|
Sakthiraj Subramanian, MD 5700 E Interstate 20 Service Rd S, Suite 100, Willow Park, TX 76008-5115 Ph: (781) 748-9730 | Sakthiraj Subramanian, MD 5700 E Interstate 20 Service Rd S, Suite 100, Willow Park, TX 76008-5115 Ph: (817) 489-7300 |
Tracy Hamblin Henderson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Mary Lou Drive, Suite 100, Willow Park, TX 76087 Phone: 817-930-2030 |