Individual
SHUCHI TALWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005893A
IN
207Q00000X
Family Medicine Physician
58.008158
OH
207R00000X
Internal Medicine Physician
327746
NY
208M00000X
Hospitalist Physician
Primary
327746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02005893A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/28/2017
Last updated
09/09/2024
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