Supriya Bavisetty, M.D.

NPI #1134410103 in Mission Hills, California

Provider Information

NPI Number: 1134410103
Entity Type: Individual
Name: Supriya Bavisetty, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 26, 2011
Last Updated: Sep 29, 2015

Practice Location

Address: 11333 SEPULVEDA BLVD
City: Mission Hills
State: California
ZIP Code: 91345-1116
Phone: (818) 365-9531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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