Samudra, Kalyani
Samudra, Kalyani is an individual health care provider with primary practice located at 501 S Chipeta Way Artec South Campus, Second Floor, Salt Lake City UT 84108-1222. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Samudra, Kalyani can be contacted via phone (801) 585-1575.Contact Information
Primary practice address
501 S Chipeta Way Artec South Campus, Second Floor
Salt Lake City UT 84108-1222
Phone: (801) 585-1575
Fax: (801) 569-9718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 6079971-1205 | Utah |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 6079971-1205 | Utah |
Profile Details
| NPI number | 1528035748 |
|---|---|
| LBN Legal business name | Samudra, Kalyani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Nov 17th, 2021 - about 3 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 | 1528035748 | NPPES |
| Utah | Other | 60799711200001 | BLUE CROSS PROVIDER # |
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