SHANA SUBRAM (NPI# 1689091126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689091126 |
Entity Type | Individual |
Full Name | SHANA SUBRAM |
Practice Address |
13420 Bartlett St Rockville MD 20853-2938 |
Practice Telephone | 3016558894 |
Mailing Telephone | 3016558894 |
Enumeration Date | 2014-03-22 |
Last Update Date | 2014-03-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 363AOOOOOX | MD | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
363AMO7OOX | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
13420 BARTLETT ST |
City | ROCKVILLE |
State | MD |
Zip Code | 20853-2938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487136701 | Products Exchange International | Non-emergency Medical Transport (VAN) | 4511 Faroe P Lace, A1, Rockville, MD 20853 | 2018-09-04 |
1831637180 | Hee K Park | Social Worker | 15422 Manor House Ter, Rockville, MD 20853 | 2017-02-07 |
1356898910 | Amelework Tesfaye Berhe | Nurse Anesthetist, Certified Registered | 4924 Arctic Terrace, Rockville, MD 20853 | 2016-09-01 |
1821461310 | Maryland Treatment Centers, Inc | Clinic/Center | 14705 Avery House, Rockville, MD 20853 | 2015-11-05 |
1952714370 | Narayanan Neurosurgery Services | Neurological Surgery | 4501 Pinetree Ave, Rockville, MD 20853 | 2014-06-03 |
1245655927 | Christopher Best | Counselor | 4701 Avery Road, Rockville, MD 20853 | 2014-03-04 |
1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
1922358704 | Amy Wynne Luther-rockwell | Registered Nurse | 13815 Flint Rock Road, Rockville, MD 20853 | 2012-09-19 |
1689802456 | Dahlia Topolosky | Psychologist | 5818 B Hubbard Drive, Rockville, MD 20853 | 2009-06-30 |
1407035736 | Nancy Ruberto-beachler | Nutritionist | 4701 Jasmine Dr., Rockville, MD 20853 | 2007-11-02 |
Find all providers in zip 20853 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376095604 | Yina Mo | Physician Assistant | 9707 Key West Ave Ste 125, Rockville, MD 20850-3992 | 2016-11-03 |
1487913653 | Diane Elizabeth Hastings | Physician Assistant | 40 W Gude Dr Ste 120, Rockville, MD 20850-1191 | 2012-05-09 |
1225199631 | Claire L Rosche Matzzie | Physician Assistant | 15825 Shady Grove Rd Ste 140, Rockville, MD 20850-4015 | 2006-12-12 |
1174595383 | Scott Henderson | Physician Assistant | 1101 Wootton Pkwy, Suite 100, Rockville, MD 20852-1059 | 2006-02-02 |
1881149847 | Jennifer Leigh Schaeffer | Physician Assistant | 9601 Blackwell Rd, Ste 275, Rockville, MD 20850-3472 | 2016-08-19 |
1629448501 | Natalia Lea Darling | Physician Assistant | 15204 Omega Dr, Rockville, MD 20850-4601 | 2015-10-05 |
1033544861 | Nicole Marie Edwards | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2013-09-11 |
1700219284 | Luwam Asnake Wolana | Physician Assistant | 726 Rockville Pike, Rockville, MD 20852-1133 | 2013-08-19 |
1619226586 | Katherine Elizabeth Bright D'antonio | Physician Assistant | 9707 Medical Center Dr, # 300, Rockville, MD 20850 | 2012-09-06 |
1326362104 | Warren Schmidt | Physician Assistant | 121 Congressional Ln, #409, Rockville, MD 20852-1542 | 2010-03-23 |
Find all providers in ROCKVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.