Provider Demographics
NPI:1649998022
Name:K SOMANATH MD INC
Entity type:Organization
Organization Name:K SOMANATH MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KEERTHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMANATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-659-7831
Mailing Address - Street 1:3641 MEADOWGLEN CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6678
Mailing Address - Country:US
Mailing Address - Phone:424-588-5350
Mailing Address - Fax:844-440-5653
Practice Address - Street 1:6464 W SUNSET BLVD STE 740
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8009
Practice Address - Country:US
Practice Address - Phone:424-588-5350
Practice Address - Fax:844-440-5653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty