National Provider Identifier
Subramaniam Sadhasivam, MD
Subramaniam Sadhasivam, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Elmira, NY and a listed phone number of (607) 734-2695.
Profile Overview
- NPI
- 1548290729
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- July 04, 2006
- Last Updated
- November 30, 2020
Practice Location
- 1138 Broadway St
- Elmira, NY 14904-2502
Phone: (607) 734-2695
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1548290729
- Entity Type
- Individual
- Last Name
- Sadhasivam
- First Name
- Subramaniam
- Credential
- MD
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 1138 Broadway St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-2502
- Practice Country
- US
- Practice Phone
- (607) 734-2695
- Practice Fax
- (607) 734-2917
- Enumeration Date
- July 04, 2006
- Last Updated
- November 30, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 02922407 (NY)