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1073639977
VIDYA SUBRAMANIAN
ESPANOLA, NM
NPI
1073639977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2005-0040)
Enumeration Date
2007-03-22
Last Update Date
2008-08-15
Business Address
VIDYA SUBRAMANIAN MD
1010 SPRUCE ST ESPANOLA MULTI-SPECIALTY CLINIC
ESPANOLA, NM 87532
Phone number: 505-367-0340
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Mailing Address
VIDYA SUBRAMANIAN MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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