| T. Subramanian Md Pa | |
|
1226 Tuscany Dr Trinity FL 34655-7073 | |
| (727) 423-6463 | |
| (727) 375-2683 |
| Full Name | T. Subramanian Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1226 Tuscany Dr, Trinity, Florida |
| Authorized Official Name and Position | Thondikulam A Subramanian (OWNER) |
| Authorized Official Contact | 7274236463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Subramanian Md Pa 1226 Tuscany Dr Trinity FL 34655-7073 Ph: (727) 423-6463 | T. Subramanian Md Pa 1226 Tuscany Dr Trinity FL 34655-7073 Ph: (727) 423-6463 |
| NPI Number | 1609566793 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Medicare PECOS PAC ID | 7315307691 |
|---|---|
| Medicare Enrollment ID | O20230718003207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609566793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Thondikulam Ananthanarayanan Subramanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326085416 PECOS PAC ID: 6608069174 Enrollment ID: I20101018000605 |
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