Provider Demographics
NPI:1780645101
Name:SUBRAMANIAM, SUBHASHINI C (MD)
Entity Type:Individual
Prefix:DR
First Name:SUBHASHINI
Middle Name:C
Last Name:SUBRAMANIAM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:322 N PINE ST
Mailing Address - Street 2:SPARTANBURG NEPHROLOGY ASSOCIATES
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1631
Mailing Address - Country:US
Mailing Address - Phone:864-582-5099
Mailing Address - Fax:864-327-1098
Practice Address - Street 1:322 N PINE ST
Practice Address - Street 2:SPARTANBURG NEPHROLOGY ASSOCIATES
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1631
Practice Address - Country:US
Practice Address - Phone:864-582-5099
Practice Address - Fax:864-327-1098
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC28330207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903314Medicaid
SC283302Medicaid
NC5903314Medicaid
SCI41070Medicare UPIN