SUPRIYA BAVISETTY

MISSION HILLS, CA
NPI1134410103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A122963)
Enumeration Date2011-04-26
Last Update Date2015-09-29
Business Address
-- SUPRIYA BAVISETTY M.D.
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345-1116
Phone number: 818-365-9531
Mailing Address
-- SUPRIYA BAVISETTY M.D.
PO BOX 9602
MISSION HILLS, CA 91346-9602
Phone number: 818-837-5559