Provider Demographics
NPI:1326111881
Name:RAMINENI, SUBBARAO V (MD)
Entity Type:Individual
Prefix:DR
First Name:SUBBARAO
Middle Name:V
Last Name:RAMINENI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:310 E CHESTNUT ST
Mailing Address - Street 2:SUITE # 4W
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-3660
Mailing Address - Country:US
Mailing Address - Phone:315-337-2200
Mailing Address - Fax:315-336-4820
Practice Address - Street 1:310 E CHESTNUT ST
Practice Address - Street 2:SUITE # 4W
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-3660
Practice Address - Country:US
Practice Address - Phone:315-337-2200
Practice Address - Fax:315-336-4820
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY115359207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine