Provider Demographics
NPI:1134562879
Name:THIAGARAJASUBRAMANIAN, ASHWIN KRISHNAN (MD)
Entity type:Individual
Prefix:DR
First Name:ASHWIN
Middle Name:KRISHNAN
Last Name:THIAGARAJASUBRAMANIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHWIN
Other - Middle Name:KRISHNAN
Other - Last Name:THIAGARAJASUBRAMANIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:484-628-1324
Mailing Address - Fax:
Practice Address - Street 1:824 MAIN ST STE 306
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4478
Practice Address - Country:US
Practice Address - Phone:610-983-1941
Practice Address - Fax:610-983-1945
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD466255207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease