Gianchandani, Supriya Mathur
Gianchandani, Supriya Mathur is an individual health care provider with primary practice located at 4315 Diplomacy Dr Attn: Sherry Reedy, Anchorage AK 99508-5926. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gianchandani, Supriya Mathur can be contacted via phone (907) 729-3971.Contact Information
Primary practice address
4315 Diplomacy Dr Attn: Sherry Reedy
Anchorage AK 99508-5926
Phone: (907) 729-3971
Fax: (907) 729-1542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | C54613 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5042 | Alaska |
Profile Details
| NPI number | 1508801044 |
|---|---|
| LBN Legal business name | Gianchandani, Supriya Mathur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Oct 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508801044 | NPPES |
| Alaska | MEDICAID | MD6864 |
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