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General NPI Number Information
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NPI Number | 1649998022
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Entity Type | Organization
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Legal Business Name | K SOMANATH MD INC
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 6464 W SUNSET BLVD STE 740
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City | LOS ANGELES
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State | CA
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Zip | 90028-8009
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Country | US
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Telephone | 424-588-5350
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Fax | 844-440-5653
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Provider Business Mailing Address
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Address Line | 6464 W SUNSET BLVD STE 750
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City | LOS ANGELES
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State | CA
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Zip | 90028-8006
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Country | US
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Telephone | 833-478-2633
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Fax | 844-440-5653
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Authorized Official
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Title or Position | OWNER
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Name | KEERTHAN SOMANATH
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Credential | MD
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Telephone | 912-910-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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