MANGALORE JAIRAM SUBBARAO

KNOX, IN
NPI1194771113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01041718)
Enumeration Date2006-05-25
Last Update Date2021-09-14
Business Address
MANGALORE JAIRAM SUBBARAO M.D.
104 E CULVER RD SUITE 102
KNOX, IN 46534-2241
Phone number: 574-772-1580
Mailing Address
MANGALORE JAIRAM SUBBARAO M.D.
2022 KELLE DR
CHESTERTON, IN 46304-8708
Phone number: 219-326-2312