Subbu Healthcare Services LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

W13537113 Issued in MD

Legal business name

SUBBU HEALTHCARE SERVICES LLC

Practice address

10309 Glenmore Dr
Adelphi, MD 20783-1202

Phone

(301) 434-5590

Fax

(301) 434-5590

NPI assigned

Feb 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Subramanian Varadarajan, ANP-BC

Title

Nurse Practitioner

Phone

(301) 434-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1265730212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 GLENMORE DR",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831202",
            "telephone_number": "301-434-5590",
            "fax_number": "301-434-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 GLENMORE DR",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831202",
            "telephone_number": "301-434-5590",
            "fax_number": "301-434-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBU HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "VARADARAJAN",
        "authorized_official_first_name": "SUBRAMANIAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-434-5590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "W13537113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS MEDICARE",
            "identifier": "DCN 602500730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Simms-Holston
• William Sherwood Smith, FNP
• Solution Inc. (Emergency Medcare Supplies)
• Sheila A Somo
• Mary B Steven
• Marta Tadesse
• Helen Takie, HHA
• Ann Kristine Aquino Tan, OTR/L
• Constance Boyuma Tangham
• Larissa Djambou Tchambe

• Health Service Clinic/Center in Adelphi, MD
• Providers in Adelphi, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.