Individual
GAUTHAMI SOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
759 CHESTNUT ST # S6538, SPRINGFIELD, MA 01107-1619
(413) 794-3233
(413) 794-9060
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
56510
CT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
294527
MA
Other
Enumeration date
06/04/2014
Last updated
08/12/2022
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