Active NPI
Kanta Subbarao, MBBS
- Pediatric Infectious Diseases Physician
- Bethesda, MD
National Provider Identifier
1356750756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 35-057355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-057355 | OH | MD | Pediatric 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.