SUPRIYA SHARMA KOTHAVALE

AUSTIN, TX
NPI1285951798
Former NameSUPRIYA SHARMA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: TX  R7510)
Additional Taxonomies2084P0015X Psychiatry & Neurology, Psychosomatic Medicine
(Licence: TX  R7510)
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine
(Licence: NY  274976)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  274976)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  R7510)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NY  274976)
Enumeration Date2010-04-23
Last Update Date2024-03-19
Business Address
SUPRIYA SHARMA KOTHAVALE D.O.
4131 SPICEWOOD SPRINGS RD STE H2
AUSTIN, TX 78759-8659
Phone number: 512-706-9821
Mailing Address
SUPRIYA SHARMA KOTHAVALE D.O.
8707 RIDGEHILL DR
AUSTIN, TX 78759-7342
Phone number: 908-692-1792