Individual
KATHIRESAN SUPPIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4701 OGLETOWN STANTON RD, SUITE 2400, NEWARK, DE 19713-2055
(302) 731-7782
(302) 738-5917
Mailing address
109 MERRY MET FARMS DR, KENNETT SQUARE, PA 19348-1697
(302) 731-7782
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0064409
MD
Other
Enumeration date
05/10/2006
Last updated
07/31/2012
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