Provider Demographics
NPI:1679668008
Name:VENKATASUBRAMANIAN, SANKARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SANKARAN
Middle Name:
Last Name:VENKATASUBRAMANIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLEVELAND CLINIC TWINSBURG FAMILY HEALTH & SURGERY CTR
Mailing Address - Street 2:8701 DARROW ROAD
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087
Mailing Address - Country:US
Mailing Address - Phone:330-888-4000
Mailing Address - Fax:330-888-4350
Practice Address - Street 1:CLEVELAND CLINIC TWINSBURG FAMILY HEALTH & SURGERY CTR
Practice Address - Street 2:8701 DARROW ROAD
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087
Practice Address - Country:US
Practice Address - Phone:330-888-4000
Practice Address - Fax:330-888-4350
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069556207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2012020Medicaid
OHG52403Medicare UPIN
OH2012020Medicaid