Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A107583 | CA |
N | 111NI0900X | Internist | A107583 | CA |
Y | 207RI0200X | Infectious Disease | 258664 | MA |
NPI | 1063646792 |
---|---|
Provider Name | Dr. Ramnath Subbaraman |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2009 |
Last Update Date | 17/06/2014 |