Individual
MUSSART K CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
(765) 446-4695
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01060104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000479197
ANTHEM
IN
01
—
11546346
CAQH NUMBER
IN
01
—
9424989
PHCS PID NUMBER
IN
Enumeration date
04/06/2006
Last updated
01/23/2008
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