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Individual

CHOUDHURY SHADMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 EAST BLVD 4TH FLOOR HOSPITALISTS STE, ELKHART, IN 46514-2483
(574) 389-7393
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01097791A
IN
207R00000X
Internal Medicine Physician
MD481057
PA
208M00000X
Hospitalist Physician
01097791A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300120600
IN
Enumeration date
04/02/2020
Last updated
03/30/2026
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