Subramaniam Kolandaivelu, M.D

NPI 1770509671 · on the registry since 2006

Practice

Address: 422 W White St
Clinton, IL 61727
Phone: (217) 935-3706
Organisation at this address: City Of Clinton
City Of Clinton
City Of Clinton
City Of Clinton
City Of Clinton
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois