Individual
DR. SUPRATIK KUMAR MOULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1706 PEBBLESTONE CT, MISSOURI CITY, TX 77459-1617
(512) 680-7346
Mailing address
1706 PEBBLESTONE CT, MISSOURI CITY, TX 77459-1617
(512) 680-7346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD438343
PA
Other
Enumeration date
04/13/2007
Last updated
05/15/2011
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