NPI Index

KALYANI SAMUDRA, MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

Active Individual
NPI: 1528035748

Practice Address

501 S CHIPETA WAY
ARTEC SOUTH CAMPUS, SECOND FLOOR
Salt Lake City, UT 84108

Phone: (801) 585-1575

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Psychiatry 2084P0800X No 6079971-1205 (UT)
Psychiatry & Neurology - Child & Adolescent Psychiatry 2084P0804X Yes 6079971-1205 (UT)

Frequently Asked Questions

NPI 1528035748 is the National Provider Identifier for KALYANI SAMUDRA, MD, a Psychiatry & Neurology - Child & Adolescent Psychiatry provider located in Salt Lake City, UT. This NPI was enumerated on March 7, 2006.
KALYANI SAMUDRA, MD practices at 501 S CHIPETA WAY, ARTEC SOUTH CAMPUS, SECOND FLOOR, Salt Lake City, UT 84108.

Quick Facts

NPI
1528035748
Type
Individual
Enumerated
Mar 7, 2006
Last Updated
Nov 17, 2021

Nearby Providers

Same Specialty