Kothavale, Supriya Sharma

Kothavale, Supriya Sharma is an sole proprietor health care provider with primary practice located at 4131 Spicewood Springs Rd Ste H2 , Austin TX 78759-8659. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Kothavale, Supriya Sharma can be contacted via phone (512) 706-9821.

Contact Information

Primary practice address
4131 Spicewood Springs Rd Ste H2 Austin TX 78759-8659
Phone: (512) 706-9821
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X R7510 Texas
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 274976 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 274976 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R7510 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 274976 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X R7510 Texas

Profile Details

NPI number 1285951798
LBN Legal business name Kothavale, Supriya Sharma
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2010
Last updated Mar 19th, 2024 - about 9 months ago

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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