Individual
MITHU CHAUDHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
324 E 10TH AVE STE 178, SALT LAKE CITY, UT 84103-2885
(801) 408-8500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10722408-1204
UT
2084P0800X
Psychiatry Physician
Primary
R8329
TX
Other
Enumeration date
04/17/2014
Last updated
01/03/2024
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