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Contact Information

VIJAY KUMAR GORINTALA SUBBANNA, MD
1000 HOUGHTON AVE
SAGINAW, MI48602-5303
 Phone: 989-583-6800
 Fax: 989-583-6915
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VIJAY KUMAR GORINTALA SUBBANNA · (Male)

NPI # 1851517114
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2007
Last updated 09/12/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301089563
  • MI Medicaid 105203187
  • MI Other 4301089563 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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