Asandra, Amy Suporn

Asandra, Amy Suporn is an individual health care provider with primary practice located at 2125 Oak Grove Rd Suite 200, Walnut Creek CA 94598-2536. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Asandra, Amy Suporn can be contacted via phone (925) 296-7150.

Contact Information

Primary practice address
2125 Oak Grove Rd Suite 200 Walnut Creek CA 94598-2536
Phone: (925) 296-7150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A108663 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A108663 California

Profile Details

NPI number 1588860159
LBN Legal business name Asandra, Amy Suporn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Dec 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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