Individual
SUPRIYA MATHUR GIANCHANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Mailing address
1050 PACIFIC COAST HIGHWAY, KAISER SOUTH BAY, HARBOR CITY, CA 90710
(310) 517-3174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5042
AK
207Y00000X
Otolaryngology Physician
C54613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD6864
—
AK
Enumeration date
06/18/2006
Last updated
10/06/2023
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