SOMU SUPPIAH

MINNEAPOLIS RADIATION ONCOLOGY PA

Dr SOMU SUPPIAH is a male medical professional, specializing in Radiation Oncology. He graduated in 2013 from Southern Illinois University School Of Medicine.

Contact

MINNEAPOLIS RADIATION ONCOLOGY PA

6500 EXCELSIOR BLVD
SAINT LOUIS PARK
MN
554264702

Tel: 9529936032

SOMU SUPPIAH Information

Npi 1508205311
Pac Id 7810216785
Professional Enrollment Id I20180726000877
Last Name SUPPIAH
First Name SOMU
Middle Name
Suffix
Gender M
Credential
Medical School Name SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty RADIATION ONCOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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