Provider Demographics
NPI:1134383334
Name:KARAK, SOMA GHOSH (MD)
Entity type:Individual
Prefix:DR
First Name:SOMA
Middle Name:GHOSH
Last Name:KARAK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:24 STEVENS ST
Mailing Address - Street 2:NORWALK HOSPITAL - 5TH FLOOR LABORATORY
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3852
Mailing Address - Country:US
Mailing Address - Phone:203-852-2649
Mailing Address - Fax:203-899-1518
Practice Address - Street 1:24 STEVENS ST
Practice Address - Street 2:NORWALK HOSPITAL - 5TH FLOOR LABORATORY
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3852
Practice Address - Country:US
Practice Address - Phone:203-852-2649
Practice Address - Fax:203-899-1518
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT052003207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008046019Medicaid
CTD400091034Medicare PIN