Individual
DR. SUPRIYA REDDY DASARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-4291
(702) 622-0395
(702) 602-6800
Mailing address
710 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-4291
(702) 622-0395
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A159479
CA
207R00000X
Internal Medicine Physician
A159479
CA
Other
Enumeration date
04/07/2017
Last updated
01/10/2023
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