Individual
SOUMYA PATNAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD458483
PA
207RC0000X
Cardiovascular Disease Physician
Primary
T2950
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT204115
PA
Other
Enumeration date
07/04/2013
Last updated
06/20/2024
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