Individual
SOUMYA CHANDRASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
235 WOODLAND N, LYNN, MA 01904-1414
(978) 712-3360
Mailing address
14 RUSSET LN, LYNNFIELD, MA 01940-1149
(914) 815-4385
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
235582
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080036A
—
MA
Enumeration date
12/20/2007
Last updated
01/28/2025
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