Individual
DR. CSHANTARA LYNN AUDAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(888) 803-3370
(888) 803-3331
Mailing address
3512 15TH ST S, ARLINGTON, VA 22204-5011
(661) 619-3699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101273827
VA
207Q00000X
Family Medicine Physician
Primary
MD477326
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
06/06/2024
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