| Subra Anandasivam Md Pa | |
|
64 S Price Rd Ste A Brownsville TX 78521-2459 | |
| (956) 548-2242 | |
| (956) 548-2262 |
| Full Name | Subra Anandasivam Md Pa |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 64 S Price Rd, Brownsville, Texas |
| Authorized Official Name and Position | Subra Anandasivam (MD) |
| Authorized Official Contact | 9565482242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Subra Anandasivam Md Pa 64 S Price Rd Ste A Brownsville TX 78521-2459 Ph: (956) 548-2242 | Subra Anandasivam Md Pa 64 S Price Rd Ste A Brownsville TX 78521-2459 Ph: (956) 548-2242 |
| NPI Number | 1669611596 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669611596 | NPI | - | NPPES |
| 030566601 | Medicaid | TX | |
| 156202701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L5222 (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | K0605 (Texas) | Primary |
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