Dr SUPRIYA S KOTHAVALE is a female medical professional, specializing in Psychiatry. She graduated in 2010 from Umdnj New Jersey School Of Osteo Medicine.
BORDER REGION MH MR COMMUNITY CENTER
101 1ST ST
ZAPATA
TX
780763319
Tel: 9567659664
Npi | 1285951798 |
Pac Id | 8527302140 |
Professional Enrollment Id | I20181207000495 |
Last Name | KOTHAVALE |
First Name | SUPRIYA |
Middle Name | S |
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Gender | F |
Credential | |
Medical School Name | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
Graduation Year | 2010 |
Primary Specialty | PSYCHIATRY |
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Organization Legal Name | BORDER REGION MH MR COMMUNITY CENTER |
Group Practice Pac Id | 0648207381 |
Number Of Group Practice Members | 12 |
Line 1 Street Address | 101 1ST ST |
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Marker Of Address Line 2 Suppression | |
City | ZAPATA |
State | TX |
Zip Code | 780763319 |
Phone Number | 9567659664 |
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Professional Accepts Medicare Assignment | M |
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