Individual
SOMU SUPPIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 EXCELSIOR BLVD DEPT OF, ST LOUIS PARK, MN 55426
(952) 993-6032
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
5104-850
WI
2085R0001X
Radiation Oncology Physician
Primary
63501
MN
Other
Enumeration date
06/14/2013
Last updated
11/28/2023
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