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Individual
DR. SUPRIYA RAO DONTHAMSETTY
Active
Individual
DR. SUPRIYA RAO DONTHAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO.000314
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DO000314
LA
208D00000X
General Practice Physician
061418
GA
208D00000X
General Practice Physician
1303
SC
Other
Enumeration date
11/10/2008
Last updated
10/09/2019
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