Individual
DR. JAYANTA KRISHNA CHAUDHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K8884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144822709
—
TX
Enumeration date
05/20/2006
Last updated
11/28/2022
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