Chandrasekaran, Soumya
Chandrasekaran, Soumya is an individual health care provider with primary practice located at 100 Cummings Ctr Ste 166D , Beverly MA 01915. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Chandrasekaran, Soumya can be contacted via phone (978) 712-3379.Contact Information
Primary practice address
100 Cummings Ctr Ste 166D
Beverly MA 01915
Phone: (978) 712-3379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 235582 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 225854 | Massachusetts |
Profile Details
| NPI number | 1942484431 |
|---|---|
| LBN Legal business name | Chandrasekaran, Soumya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Feb 12th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942484431 | NPPES |
| Massachusetts | MEDICAID | 110080036A |
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