Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 107809 | MO |
NPI | 1154370203 |
---|---|
Provider Name | Hamsa N Subramanian |
First Address | Saint Louis, MO 63141-6814 |
Second Address | Saint Louis, MO 63141-6814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0406114 | UNITED HEALTHCARE (01) | MO |
128761 | BLUE CROSS BLUE SHIELD (01) | MO |
227978 | GROUP HEALTH PLAN (01) | MO |
409550 | HEALTHLINK (01) | MO |
567993 | CIGNA HEALTH PLAN (01) | MO |
7258195 | AETNA (01) | MO |
G95155 | (02) | MO |