Individual
DR. SOUMO DE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
281425
MA
2085R0202X
Diagnostic Radiology Physician
Primary
A153092
CA
Other
Enumeration date
06/21/2012
Last updated
01/15/2026
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