Provider Demographics
NPI:1457558777
Name:ADHIKARI, SOUMYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SOUMYA
Middle Name:
Last Name:ADHIKARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:ROOM G2.236, MC 9063
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-7201
Mailing Address - Country:US
Mailing Address - Phone:214-456-5959
Mailing Address - Fax:214-456-5963
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:ROOM G2.236, MC 9063
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7201
Practice Address - Country:US
Practice Address - Phone:214-456-5959
Practice Address - Fax:214-456-5963
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL90532080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology