KALYANI SAMUDRA

SALT LAKE CITY, UT
NPI1528035748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: UT  6079971-1205)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  6079971-1205)
Enumeration Date2006-03-07
Last Update Date2021-11-17
Business Address
KALYANI SAMUDRA MD
501 S CHIPETA WAY ARTEC SOUTH CAMPUS, SECOND FLOOR
SALT LAKE CITY, UT 84108-1222
Phone number: 801-585-1575
Mailing Address
KALYANI SAMUDRA MD
PO BOX 413076
SALT LAKE CITY, UT 84141-3076
Phone number: 801-213-3900