Supriya Sharma Kothavale, DO - Psychiatry & Neurology in Austin, TX

Supriya Sharma Kothavale, DO is a Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Austin, Texas. Supriya Sharma Kothavale is licensed to practice in Texas (license number R7510) and her current practice location is 4131 Spicewood Springs Rd Ste H2, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at (512) 706-9821.

NPI number for Supriya Sharma Kothavale is 1285951798 and her current mailing address is 8707 Ridgehill Dr, Austin, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285951798.

Contact Information

Supriya Sharma Kothavale, DO
4131 Spicewood Springs Rd Ste H2,
Austin, TX 78759-8659
(512) 706-9821
Not Available

Map and Direction




Physician's Profile

Full NameSupriya Sharma Kothavale
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location4131 Spicewood Springs Rd Ste H2, Austin, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285951798
  • Provider Enumeration Date: 04/23/2010
  • Last Update Date: 03/19/2024

Medical Identifiers

Medical identifiers for Supriya Sharma Kothavale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285951798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0015XPsychiatry & Neurology - Psychosomatic Medicine R7510 (Texas)Secondary
2084P0015XPsychiatry & Neurology - Psychosomatic Medicine 274976 (New York)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 274976 (New York)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry R7510 (Texas)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 274976 (New York)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry R7510 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Supriya Sharma Kothavale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supriya Sharma Kothavale, DO
8707 Ridgehill Dr,
Austin, TX 78759-7342

Ph: (908) 692-1792
Supriya Sharma Kothavale, DO
4131 Spicewood Springs Rd Ste H2,
Austin, TX 78759-8659

Ph: (512) 706-9821

Reviews and Comments


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