Individual provider · Type 1 NPI

Alisara Suptuesat, MD

Diagnostic Radiology Physician · Houston, TX

NPI number 1205922978 Active

Practice location

6411 Fannin
Houston, TX 77030

Mailing address

P O Box 201088
Houston, TX 77216-1088

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XFTL 41869 (TX)
Diagnostic Radiology Physician Primary 2085R0202X42742 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1205922978

Alisara Suptuesat, MD's National Provider Identifier is 1205922978, issued on Oct 4, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Houston, TX. The record was last updated on Oct 13, 2009.