Individual
DR. SUPRIYA RAO DONTHAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Mailing address
1430 TULANE AVE, # 8679, NEW ORLEANS, LA 70112-2632
(504) 988-5224
(504) 988-3969
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO.000314
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DO000314
LA
208D00000X
General Practice Physician
061418
GA
208D00000X
General Practice Physician
1303
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300253
—
LA
Enumeration date
11/10/2008
Last updated
10/09/2019
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