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

Prem Srinivas Subramaniyam, MD

Individual provider Cardiovascular Disease Physician · NPI 1578872487

Prem Srinivas Subramaniyam, MD is an Interventional Cardiology in Davenport, Florida. Qualified in 2007, 19 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Kentucky, Massachusetts and Texas.

Years since qualifying
19
Licensed in
FL, KY, MA, TX
In the registry since
2010
Specialties on file
4
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

410 Lionel Way Ste 201
Davenport, FL 33837-7809
Phone: (863) 422-5331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Trillium Way Ste 210, Corbin, KY 40701-8490 — (606) 523-3038

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence ME165319 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 254528 (MA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence TP441 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence BP10036946 (TX)

Record details

NPI number1578872487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 28, 2010
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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