Mahesh R Subbu, M.D.
Internal Medicine in Yuma, AZ. Individual provider (NPI-1).
NPI number1790892016
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1790892016
- Entity type
- Individual (NPI-1)
- Name
- Mahesh R Subbu
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2006
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 33028 | AZ | Yes |
Other names
- Mahesh Rama Subbu (Former Name)
Practice location
2851 S Avenue B Ste 1201Yuma, AZ 85364-7745
Phone 928-329-7000 · Fax 928-329-9303
Mailing address
2851 S Avenue B Ste 1201Yuma, AZ 85364-7745
Phone 928-329-7000 · Fax 928-329-9303
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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