Provider Demographics
NPI:1922166784
Name:VINAYAKOM, SUBALAXMI VALLI (MD)
Entity Type:Individual
Prefix:
First Name:SUBALAXMI
Middle Name:VALLI
Last Name:VINAYAKOM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:19517 DOCTORS DR
Mailing Address - Street 2:ABDULLAH S VINAYALCOM
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:301-353-8700
Mailing Address - Fax:301-353-0394
Practice Address - Street 1:19517 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-353-8700
Practice Address - Fax:301-353-0394
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD25882207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology