Individual
ANISA SUGANTAL SUPARMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N WASHINGTON AVE, SCRANTON, PA 18503-1828
(570) 343-2383
Mailing address
2500 BISCAYNE BLVD APT 606, MIAMI, FL 33137-4565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A187217
CA
2084P0800X
Psychiatry Physician
MT217917
PA
Other
Enumeration date
05/22/2019
Last updated
11/17/2025
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