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Individual

DR. SHAUKAT HUSSAIN CHOWDHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11707 CLUB DR, TAMPA, FL 33612-5521
(813) 977-2222
(813) 977-4222
Mailing address
PO BOX 46518, TAMPA, FL 33646-0105
(813) 977-2222
(813) 977-4222

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME67887
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050069548
RAILROAD MEDICARE
FL
01
162482000
WORKERS COMPENSATION
01
28369
BCBS
FL
05
379155600
FL
Enumeration date
12/01/2005
Last updated
12/19/2013
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