Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bala R Subramanyam, MD

Individual provider Diagnostic Radiology Physician · NPI 1558318402

Bala R Subramanyam, MD is a Diagnostic Radiology Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

650 1st Ave
New York, NY 10016-3240 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 448-9700
Fax: (212) 447-7640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 126407 (NY)

Record details

NPI number1558318402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2006
Last updated in NPPESJuly 17, 2007

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