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Individual

DR. SUPARNA NANUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
425 UNIVERSITY BLVD STE 500, ROUND ROCK, TX 78665-1047
(512) 509-3750
Mailing address
425 UNIVERSITY BLVD STE 500, ROUND ROCK, TX 78665-1047
(512) 509-3750

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
04-35424
KS
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2010037369
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
307769
NY

Other

Enumeration date
07/02/2007
Last updated
02/08/2023
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