Kalyani Samudra is a Child & Adolescent Psychiatry Physician based in Salt Lake City, UT and is specialized in Child & Adolescent Psychiatry. Kalyani Samudra practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Kalyani Samudra is 1528035748 and holds a License No. 6079971-1205 (Utah).
The current practice location address for Kalyani Samudra is 501 S Chipeta Way, Salt Lake City, UT and can be reached out via phone at 801-585-1575 and via fax at 801-569-9718. You can also correspond with Kalyani Samudra through the mailing address at PO BOX 413076, SALT LAKE CITY, UT - 84141-3076 (mailing address contact number: 801-213-3900).
Identifier | Type | State | Issuer |
---|---|---|---|
60799711200001 | 01 | UT | BLUE CROSS PROVIDER # |
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