Individual
KIMBERLY MARIE CHOUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
Mailing address
2222 DETROIT AVE, APT 510, CLEVELAND, OH 44113-2453
(718) 207-8537
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13077
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064530
—
OH
01
—
P01071257
MEDICARE RAILROAD
OH
Enumeration date
01/20/2012
Last updated
09/27/2012
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