Individual
SWAPAN K CHAUDHURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
143 CEDAR WOODS TRL, CANTON, GA 30114-7769
(770) 479-5222
Mailing address
143 CEDAR WOODS TRL, CANTON, GA 30114-7769
(770) 479-5222
(770) 479-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54258
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283319021F
—
GA
05
—
283319021G
—
GA
05
—
283319021H
—
GA
01
—
P00832367
RAILROAD MEDICARE
GA
Enumeration date
05/05/2006
Last updated
09/07/2010
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