Individual provider Active NPI

Kanta Subbarao, MBBS

  • Pediatric Infectious Diseases Physician
  • Bethesda, MD
National Provider Identifier
1356750756
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
35-057355 Issued in OH
Practice address
33 North Dr
Room 3E 13C.1
Bethesda, MD 20892-3203
Phone
(301) 451-3839
Fax
(301) 480-4749
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 35-057355 OH Primary

Addresses

Primary practice location

33 North Dr
Room 3E 13C.1
Bethesda, MD 20892-3203

Mailing address

33 North Dr
Room 3E 13C.1
Bethesda, MD 20892-3203
Phone (301) 451-3839

Other names 1

  • Dr. E Kanta Subbarao Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35-057355OHMDPediatric Infectious Diseases Physician

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1356750756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 NORTH DR",
            "address_2": "ROOM 3E 13C.1",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208923203",
            "telephone_number": "301-451-3839",
            "fax_number": "301-480-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NORTH DR",
            "address_2": "ROOM 3E 13C.1",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208923203",
            "telephone_number": "301-451-3839",
            "fax_number": "301-480-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBARAO",
        "first_name": "KANTA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "OH",
            "license": "35-057355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "SUBBARAO",
            "middle_name": "KANTA",
            "prefix": "DR.",
            "credential": "MBBS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.