Search › California › 208000000X
Supriya Bavisetty, M.D
NPI 1134410103 · on the registry since 2011
Practice
- Address
- 11333 Sepulveda Blvd
Mission Hills, CA 91345 - Phone
- (818) 365-9531
- Fax
- (818) 898-1682
- Organisation at this address
- Reliance Fb Rx Llc
Providence Facey Medical FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 187
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California