Provider Demographics
NPI:1447097548
Name:CHATURVEDI, SOUMYA (MBBS)
Entity type:Individual
Prefix:DR
First Name:SOUMYA
Middle Name:
Last Name:CHATURVEDI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 EAST ADAMS STREET
Mailing Address - Street 2:SUNY UPSTATE MEDICAL UNIVERSITY
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210
Mailing Address - Country:US
Mailing Address - Phone:201-481-3351
Mailing Address - Fax:
Practice Address - Street 1:750 EAST ADAMS STREET
Practice Address - Street 2:SUNY UPSTATE MEDICAL UNIVERSITY
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:201-481-3351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program