Provider Demographics
NPI:1366508814
Name:FURMAN, SUBASHINI T (MD)
Entity type:Individual
Prefix:
First Name:SUBASHINI
Middle Name:T
Last Name:FURMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUBASHINI
Other - Middle Name:T
Other - Last Name:YOGESWAREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:317 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-3356
Mailing Address - Country:US
Mailing Address - Phone:281-844-7258
Mailing Address - Fax:812-885-3974
Practice Address - Street 1:310 E 24TH ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3126
Practice Address - Country:US
Practice Address - Phone:307-634-9311
Practice Address - Fax:307-634-5627
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065890A2085R0001X
COCDR.00012812085R0202X, 2085R0001X
WI10378A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100072100Medicaid
IN200926130Medicaid
INP00687969OtherRR MEDICARE
KY7100072100Medicaid
INP00687969OtherRR MEDICARE
IL$$$$$$$$$Medicaid
IN838350YYYMedicare PIN