Individual
PRATHIBHA SURAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4383 MEDICAL DR, SAN ANTONIO, TX 78229-3307
(210) 593-5700
Mailing address
21711 RUGOSA HL, SAN ANTONIO, TX 78256-2453
(347) 733-3345
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R8998
TX
Other
Enumeration date
04/04/2014
Last updated
08/03/2020
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