Mani Subramanian, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G4724 Issued in TX

Practice address

2207 S Clear Creek Rd
Suite 302
Killeen, TX 76549-4132

Phone

(254) 526-5353

Fax

(254) 554-5298

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1902942196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 S CLEAR CREEK RD",
            "address_2": "SUITE 302",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494132",
            "telephone_number": "254-526-5353",
            "fax_number": "254-554-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 S CLEAR CREEK RD",
            "address_2": "SUITE 302",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494132",
            "telephone_number": "254-526-5353",
            "fax_number": "254-554-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "MANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "G4724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802217-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802209-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NUMBER",
            "identifier": "8S4240",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Strength Within Counseling PLLC
• Terry Allen Strong Sr., MA, LPC
• Kristina Struna
• David A. Stulman, PH.D.
• Morgan Sturgeon
• Binu Sugunan, MD
• Sukumar MHT PLLC
• Latha Sukumar, MD
• Sundaram Sukumar, MD
• Paul Sullivan, DDS

• Hematology & Oncology Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.