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Individual
SOUMYADIPTA HAZRA
Active
Individual
SOUMYADIPTA HAZRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A-118104
CA
2084P0802X
Addiction Psychiatry Physician
247252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124291224
—
CA
Enumeration date
04/09/2008
Last updated
03/08/2021
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