| Poovillam S Subramaniam, M.d., P.c. | |
|
3400 Boulevard Colonial Heights VA 23834-1418 | |
| (804) 520-1157 | |
| Not Available |
| Full Name | Poovillam S Subramaniam, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3400 Boulevard, Colonial Heights, Virginia |
| Authorized Official Name and Position | Poovillam S Subramaniam (PRESIDENT) |
| Authorized Official Contact | 8045201157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poovillam S Subramaniam, M.d., P.c. 620 Walsing Dr Richmond VA 23229-8133 Ph: (804) 520-1157 | Poovillam S Subramaniam, M.d., P.c. 3400 Boulevard Colonial Heights VA 23834-1418 Ph: (804) 520-1157 |
| NPI Number | 1164639001 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164639001 | NPI | - | NPPES |
| 007100035 | Medicaid | VA | |
| 1013910652 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101041206 (Virginia) | Primary |
Royal Family Community Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2457 Boulevard, Colonial Heights, VA 23834 Phone: 804-805-8694 Fax: 804-805-8694 | |
Tricities Community Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2457 Boulevard, Colonial Heights, VA 23834 Phone: 804-247-3997 | |
Swift Creek Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Boulevard, Suite F, Colonial Heights, VA 23834 Phone: 804-334-9862 | |
Renewal Christian Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3606 Boulevard Ste B, Colonial Heights, VA 23834 Phone: 804-505-4869 | |
Community Transitional Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16029 Continental Blvd, Colonial Heights, VA 23834 Phone: 919-641-8010 | |
Ald Groups Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Lakeside Dr, Colonial Heights, VA 23834 Phone: 323-497-7039 | |
Healthyminds, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Boulevard, Suite F, Colonial Heights, VA 23834 Phone: 804-479-3515 Fax: 804-898-3999 |