Individual
CHIRAG CHOUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987-2111
(216) 316-8115
Mailing address
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987-2111
(216) 316-8115
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME166806
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2008
Last updated
03/11/2024
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