Dr SOMU SUPPIAH is a male medical professional, specializing in Radiation Oncology. He graduated in 2013 from Southern Illinois University School Of Medicine.
MINNEAPOLIS RADIATION ONCOLOGY PA
6500 EXCELSIOR BLVD
SAINT LOUIS PARK
MN
554264702
Tel: 9529936032
Npi | 1508205311 |
Pac Id | 7810216785 |
Professional Enrollment Id | I20180726000877 |
Last Name | SUPPIAH |
First Name | SOMU |
Middle Name | |
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Gender | M |
Credential | |
Medical School Name | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | RADIATION ONCOLOGY |
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Organization Legal Name | MINNEAPOLIS RADIATION ONCOLOGY PA |
Group Practice Pac Id | 8527951094 |
Number Of Group Practice Members | 21 |
Line 1 Street Address | 6500 EXCELSIOR BLVD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | SAINT LOUIS PARK |
State | MN |
Zip Code | 554264702 |
Phone Number | 9529936032 |
Hospital Affiliation Ccn 1 | 240053 |
Hospital Affiliation Lbn 1 | PARK NICOLLET METHODIST HOSPITAL |
Hospital Affiliation Ccn 2 | 240001 |
Hospital Affiliation Lbn 2 | NORTH MEMORIAL MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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