Individual
DR. SANKALP CHOUDHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3155 E SOUTHERN AVE, SUITE 203, MESA, AZ 85204-5519
(480) 325-8173
(480) 325-8179
Mailing address
3155 E SOUTHERN AVE, SUITE 203, MESA, AZ 85204-5519
(480) 325-8173
(480) 325-8179
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38218
AZ
207RP1001X
Pulmonary Disease Physician
Primary
38218
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235274614
GROUP NPI
—
01
—
336456
GROUP MEDICAID
AZ
01
—
38218
AZ LICENSE
AZ
05
—
416390
—
AZ
01
—
Z148911
PTAN MD ANDERSON
AZ
01
—
Z78334
GROUP MEDICARE PTAN
AZ
Enumeration date
05/24/2007
Last updated
01/09/2012
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