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1174822415
SUSRUTHA THANAM
AUSTIN, TX
NPI
1174822415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: TX Q2860)
Enumeration Date
2011-03-25
Last Update Date
2023-10-10
Business Address
SUSRUTHA THANAM M.D.
4110 GUADALUPE ST AUSTIN STATE HOSPITAL
AUSTIN, TX 78751-4223
Phone number: 512-419-2148
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Mailing Address
SUSRUTHA THANAM M.D.
4110 GUADALUPE ST AUSTIN STATE HOSPITAL
AUSTIN, TX 78751-4223
Phone number: 512-419-2148
Copy
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