Sara Venkatasubramanian, MD | |
2406 Blue Ridge Rd, # 190, Raleigh, NC 27607-6678 | |
(919) 789-4322 | |
Not Available |
Full Name | Sara Venkatasubramanian |
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Gender | Female |
Speciality | Family Medicine |
Location | 2406 Blue Ridge Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619170016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2009-01082 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Mailing Address | Practice Location Address |
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Sara Venkatasubramanian, MD Po Box 63362, #190, Charlotte, NC 28263-3362 Ph: (919) 620-4918 | Sara Venkatasubramanian, MD 2406 Blue Ridge Rd, # 190, Raleigh, NC 27607-6678 Ph: (919) 789-4322 |
Conrad Flick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Bush St, Raleigh, NC 27609 Phone: 919-875-8150 Fax: 919-875-9577 | |
Dr. Christopher Zaguirre Rayala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 E Davie St, Raleigh, NC 27601 Phone: 919-834-5299 | |
Dr. Mona Soliman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11200 Governor Manly Way, Raleigh, NC 27614 Phone: 919-570-7700 | |
Douglas Ira Hammer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1207 Watauga St, Raleigh, NC 27604 Phone: 919-215-5078 | |
William Grant Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11200 Governor Manly Way, Raleigh, NC 27614 Phone: 919-747-5270 Fax: 919-747-5271 | |
Mrs. Soenda P Norman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10211 Alm St, Suite 1200, Raleigh, NC 27617 Phone: 919-206-4889 Fax: 919-206-4875 | |
Dr. Jason Joseph Troiano, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Donald Ross Dr, Raleigh, NC 27610 Phone: 919-250-3320 |