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SOUVONIK ADHYA MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1114541448

Individual Registrant:
 SOUVONIK  ADHYA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1617 N WASHINGTON  MAGNOLIA, AR 71753-2046 US
Tel: 870-562-2577  Fax: 870-562-2559

Contact information for business:
1617 N WASHINGTON  MAGNOLIA, AR 71753-2046 US
Tel: 870-562-2577  Fax: 870-562-2559

Registration Information:
NPI: 1114541448
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
AR

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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