Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 57.251997 | OH |
NPI | 1841965415 |
---|---|
Provider Name | Jayanthan B Subramanian |
First Address | Columbus, OH 43212-4606 |
Second Address | Columbus, OH 43210-1267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2021 |
Last Update Date | 14/08/2021 |