Provider Demographics
NPI:1578627394
Name:SUBBIAH, SUKANTHINI (MD)
Entity Type:Individual
Prefix:
First Name:SUKANTHINI
Middle Name:
Last Name:SUBBIAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUKI
Other - Middle Name:
Other - Last Name:SUBBIAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE, SL-78
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112
Mailing Address - Country:US
Mailing Address - Phone:504-988-5482
Mailing Address - Fax:504-988-5483
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:SL-78
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5482
Practice Address - Fax:504-988-5483
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.205817207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology