# SUPRIYA MATHUR GIANCHANDANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508801044
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 5042 | AK | Yes |
| 207Y00000X | Otolaryngology Physician | C54613 | CA | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 10/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MD6864 | — | AK |