Individual
SUMBLINA A CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
228559
NY
2085R0202X
Diagnostic Radiology Physician
228559
NY
2085R0202X
Diagnostic Radiology Physician
Primary
MD073109L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019086480013
—
PA
05
—
02499347
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039853
MEDICARE GROUP
PA
01
—
GU058887
MEDICARE GROUP
PA
01
—
P00393474
RR MEDICARE
PA
Enumeration date
08/26/2005
Last updated
03/05/2021
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