Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANGALORE JAIRAM SUBBARAO, M.D.
ActiveMANGALORE JAIRAM SUBBARAO, M.D. is a General Surgery healthcare provider located in KNOX, Indiana. NPI 1194771113 is currently active in the NPPES registry. Verify at CMS.
General Surgery · KNOX, IN
Registration Details
- NPI Number
- 1194771113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.076480640913 yrs)
- Last Updated
- Sep 14, 2021
- License
-
01041718 (IN)
Practice Information
- Address
-
104 E CULVER RDSUITE 102KNOX, IN, 465342241Browse IN providers · Browse ZIP 46534
- Phone
- 5747721580
- Fax
- 5747721581
- Primary Specialty
-
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.