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Individual

SUDHENDU CHOUBEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 E MAIN ST, RADFORD, VA 24141-1721
(540) 283-7252
(540) 639-0664
Mailing address
2602FRANKLIN RD, ROANOKE, VA 24014-1010
(540) 343-8565
(540) 344-9627

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101-058790
VA
207RC0000X
Cardiovascular Disease Physician
0101058790
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010104556
VA
05
010248515
VA
05
5822360
VA
05
6072771
VA
01
CF9878
RR MEDICARE GROUP
VA
Enumeration date
08/02/2005
Last updated
04/18/2018
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