Anitha Subbanna

Pediatrics Physician · Prince Frederick, MD

Individual Active NPI

NPI number 1851550453

Practice location

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone
(410) 535-4000

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NPI record

NPI
1851550453
Entity type
Individual (Type 1)
Enumeration date
June 9, 2008
Last updated
January 19, 2024
Certified
January 19, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X D84336 MD
Hospitalist Physician 208M00000X D84336 MD
Pediatrics Physician 208000000X 0101244415 VA

Mailing address

5161 Sapphire SKY Ln
Centreville, VA 20120-3012

Other practice locations (1)

  • 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 · (703) 391-3600

About Anitha Subbanna

Anitha Subbanna is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 100 Hospital Rd, Prince Frederick, MD 20678-4017. The NPI number 1851550453 was assigned on June 9, 2008 and the record was last updated on January 19, 2024.

Anitha Subbanna lists 3 licenses in the registry: #D84336 (MD) for Pediatrics Physician; #D84336 (MD) for Hospitalist Physician; #0101244415 (VA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anitha Subbanna?

The NPI number is 1851550453.

What is the phone number of Anitha Subbanna?

The phone number listed for the practice location is (410) 535-4000.

Where is Anitha Subbanna located?

100 Hospital Rd, Prince Frederick, MD 20678-4017.

What is the taxonomy code for Anitha Subbanna?

The primary taxonomy code is 208000000X – Pediatrics Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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