IndividualActive
Kalyani Samudra, MD
NPI 1528035748 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1528035748
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 6079971-1205 (UT)
Practice location
501 S Chipeta Way
Artec South Campus, Second Floor
Salt Lake City, UT 84108-1222
Phone: (801) 585-1575
Fax: (801) 569-9718
Mailing address
Po Box 413076
Salt Lake City, UT 84141-3076
Registry dates
- Enumerated
- 2006-03-07
- Last updated
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.