Doctor Name: | SOUMYA PATNAIK |
NPI Number: | 1023458080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MT204115 |
Business Practice Address: | 5501 Old York Rd Albert Einstein Medical Center, Department Of Medicine, Philadelphia, PA - 191413098 |
Business Phone Number: | 8002202362 |
Business Fax Number: | 2154567926 |
Mailing Address: | 5501 Old York Rd, Albert Einstein Medical Center, Department Of Medicine, PHILADELPHIA |
State: | PA |
Postal Code: | 191413098 |
Phone Number: | 8002202362 |
Fax Number: | 2154567926 |
NPI Enumeration Date: | 07/04/2013 |
NPI Last Update Date: | 07/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT204115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |