SUBHASRI L SANGAM (NPI# 1235391400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235391400 |
| Entity Type | Individual |
| Full Name | SUBHASRI L SANGAM |
| Other Name | SUBHASRI L MANDA |
| Credential | MD |
| Practice Address |
206 E Brown St East Stroudsburg PA 18301-3006 |
| Practice Telephone | 5704228288 |
| Practice Fax Number | 5704262390 |
| Mailing Telephone | 5704228288 |
| Mailing Fax Number | 5704262390 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD433934 | PA | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD433934 | PA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
25MA08961800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
206 E BROWN ST |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718934 | David M Richlin | Specialist | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2005-05-24 |
| 1740897107 | Carolynn Harbison | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2020-09-29 |
| 1649805326 | Amy Acosta | Nurse Practitioner | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2020-03-03 |
| 1134683527 | Richard Powers Jr. | Pharmacist | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2019-01-30 |
| 1346704749 | Tara Coyne | Pharmacist | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2019-01-30 |
| 1245709336 | Carlin Shea | Nurse Anesthetist, Certified Registered | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-11-19 |
| 1427531938 | Leah Paige Makarevich | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-09-11 |
| 1225516107 | Megan Grass | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-08-01 |
| 1710471982 | Megan Wheatley | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-06-20 |
| 1609382217 | Megan Elizabeth Weimer | Advanced Practice Midwife | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2017-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346528114 | Necla Kudrick | Pediatrics | 206 East Brown St, East Stroudsburg, PA 18301-1020 | 2011-07-28 |
| 1194044222 | Pocono Medical Center | Pediatrics | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2010-05-28 |
| 1922261411 | Ecaterina Sartina | Pediatrics | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2008-07-06 |
| 1497869655 | Murali Manne | Pediatrics | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2006-08-17 |
| 1225012784 | Jose Delfor Salazar | Pediatrics | 206 E Brown St, Pmc Neonatology, East Stroudsburg, PA 18301-3006 | 2005-11-30 |
| 1922081272 | Luis A Vera | Pediatrics | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595016 | St. Luke's Physician Group, Inc. | Pediatrics | 450 Chew St Fl 2, Allentown, PA 18102-3434 | 2018-04-16 |
| 1942671532 | Ian Gertner | Pediatrics | 3430 W Congress St, Allentown, PA 18104-2677 | 2015-10-08 |
| 1871810192 | Christine Marie Ennis | Pediatrics | 1512 Bensalem Blvd, Bensalem, PA 19020-2404 | 2010-04-26 |
| 1740443936 | Sulaiman Sannoh | Pediatrics | 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 | 2008-07-08 |
| 1568656981 | Mario Zichella Jr. | Pediatrics | 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 | 2007-08-29 |
| 1235333774 | Andrea Freeman Duncan | Pediatrics | 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 | 2007-06-11 |
| 1831302603 | Folasade Ibironke Kehinde | Pediatrics | 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 | 2007-05-08 |
| 1851512685 | Andrew Meyer | Pediatrics | Cedar Crest Blvd & I78, Allentown, PA 18105 | 2007-05-01 |
| 1700918414 | Nicole Esther Cohen-addad | Pediatrics | 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 | 2007-03-09 |
| 1770610677 | Erika Maria Yencha | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 | 2007-02-27 |
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| City | EAST STROUDSBURG |
| Zip Code | 18301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.