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Contact Information

SUPRIYA S KOTHAVALE, DO
4131 SPICEWOOD SPRINGS RD STE H2
AUSTIN, TX78759-8659
 Phone: 512-706-9821
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SUPRIYA S KOTHAVALE · (Female)

NPI # 1285951798
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/23/2010
Last updated 03/19/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 274976
  • TX License # R7510
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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