Doctor Name: | DR. SUBRAMANIAM SEETHARAMAN |
NPI Number: | 1598945131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | LL16688 |
Business Practice Address: | 3033 Se Monroe St Milwaukie, OR - 972226636 |
Business Phone Number: | 5036594988 |
Business Fax Number: | 5036594730 |
Mailing Address: | Po Box 22075, MILWAUKIE |
State: | OR |
Postal Code: | 972692075 |
Phone Number: | 5036594777 |
Fax Number: | 5036525223 |
NPI Enumeration Date: | 11/12/2007 |
NPI Last Update Date: | 06/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | LL16688 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |