Individual provider · Type 1 NPI

Kalyani Samudra, MD

Child & Adolescent Psychiatry Physician · Salt Lake City, UT

NPI number 1528035748 Active

Practice location

501 S Chipeta Way, Artec South Campus, Second Floor
Salt Lake City, UT 84108-1222

Fax (801) 569-9718

Mailing address

PO Box 413076
Salt Lake City, UT 84141-3076

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X6079971-1205 (UT)
Child & Adolescent Psychiatry Physician Primary 2084P0804X6079971-1205 (UT)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1528035748

Kalyani Samudra, MD's National Provider Identifier is 1528035748, issued on Mar 7, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 17, 2021.