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Individual
DR. AMY SUPORN ASANDRA
Active
Individual
DR. AMY SUPORN ASANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A108663
CA
2085R0202X
Diagnostic Radiology Physician
Q3847
TX
2085R0204X
Vascular & Interventional Radiology Physician
A108663
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
Q3847
TX
Other
Enumeration date
06/21/2007
Last updated
10/08/2026
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