Donthamsetty, Supriya Rao

Donthamsetty, Supriya Rao is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Donthamsetty, Supriya Rao can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Blvd Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X DO000314 Louisiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1303 South Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 061418 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X DO.000314 Louisiana

Profile Details

NPI number 1922252576
LBN Legal business name Donthamsetty, Supriya Rao
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2008
Last updated Oct 9th, 2019 - about 7 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922252576 NPPES
Louisiana MEDICAID 2300253

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