Individual
SUPRIYA SHARMA KOTHAVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD STE H2, AUSTIN, TX 78759-8659
(512) 706-9821
Mailing address
8707 RIDGEHILL DR, AUSTIN, TX 78759-7342
(908) 692-1792
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
274976
NY
2084P0015X
Psychosomatic Medicine Physician
R7510
TX
2084P0800X
Psychiatry Physician
274976
NY
2084P0800X
Psychiatry Physician
R7510
TX
2084P0804X
Child & Adolescent Psychiatry Physician
274976
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
R7510
TX
Other
Enumeration date
04/23/2010
Last updated
03/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us