Rajesh Subramanya, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

26046 Issued in MS

Practice address

1100 Belk Blvd
Oxford, MS 38655

Phone

(662) 636-1000

NPI assigned

Jun 13, 2016

Reactivated

Aug 30, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1023468873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 CALEDONIA RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465123",
            "telephone_number": "516-574-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-636-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Harwood Close",
            "address_purpose": "LOCATION",
            "city": "Welwyn Garden City",
            "state": "Hertfordshire",
            "postal_code": "AL87SN",
            "country_code": "GB",
            "telephone_number": "447795085142",
            "fax_number": "441707894042",
            "country_name": "Great Britain",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "SUBRAMANYA",
        "first_name": "RAJESH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-05-01",
        "deactivation_date": "2017-02-02",
        "reactivation_date": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "26046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark H Strong, MD
• Matthew W Strum, PHARM.D.
• Dorothy Stuart
• Earl Stubblefield Jr., D.M.D.
• Ainslie Miele Stuckey Hudspeth, NP
• Eric Suddeath, MA, LPC
• Kimberly Suddeath, MS, RD, LD
• Sandra Suggs, LMT
• Sullivan Counseling Services, LLC
• Cassandra Sullivan, RPH

• Pediatrics Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.