Supriya Bavisetty
M.D. | Pediatrics | Female
Supriya Bavisetty, M.D. is a Mission Hills, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Supriya Bavisetty is
11333 Sepulveda Blvd, Mission Hills, California - 91345-1116. She can be contacted on phone at
818-365-9531 and fax number 818-898-1682.
Supriya Bavisetty is a sole proprietor of her business.
NPI number (Unique professional ID) for Supriya Bavisetty is
1134410103 which was assigned by NPPES on 26 Apr, 2011 and it was last updated on 29 Sep, 2015.
Supriya Bavisetty license number is
A122963 for Pediatrics (208000000X) in California.
Supriya Bavisetty is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Supriya Bavisetty basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Supriya Bavisetty |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Supriya Bavisetty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11333 Sepulveda Blvd
Mission Hills, CA, 91345-1116
United States |
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| Phone Number : | 818-365-9531 |
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| Fax Number : | 818-898-1682 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134410103 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Apr, 2011 |
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| Last Updated On : | 29 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Supriya Bavisetty are as mentioned. Primary taxonomy code for Supriya Bavisetty, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A122963 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Supriya Bavisetty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001229630 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9602
Mission Hills, CA, 91346-9602
United States |
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| Phone Number : | 818-837-5559 |
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Business Location:
Patients can refer following map for directions to
Supriya Bavisetty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.