Individual provider · Type 1 NPI

Sudha Subramanyam, MD

Family Medicine Physician · Nampa, ID

NPI number 1104481555 Active

Practice location

9850 W St Lukes Dr
Nampa, ID 83687-7912

Call (208) 205-7282 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 215 E Hawaii Ave, Nampa, ID 83686-6011 · (208) 514-2529

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XMRM-1815 (ID)
Family Medicine Physician Primary 207Q00000XM15981 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104481555

Sudha Subramanyam, MD's National Provider Identifier is 1104481555, issued on May 1, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Nampa, ID. The record was last updated on Jun 6, 2022.