Individual
DR. SUSHELA S CHAIDARUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC ENDOCRINOLOGY SECTION, DEPT OF MEDICINE, LEBANON, NH 03756-1000
(603) 650-8630
(603) 650-2240
Mailing address
1 MEDICAL CENTER DR, DHMC ENDOCRINOLOGY SECTION, DEPT OF MEDICINE, LEBANON, NH 03756-1000
(603) 650-8630
(603) 650-2240
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
14189
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015905
—
VT
01
—
172221
L&I
WA
05
—
299840
—
OR
05
—
30208311
—
NH
05
—
8364564
—
WA
01
—
P00053600
RAIL ROAD MEDICARE
WA
Enumeration date
02/14/2006
Last updated
07/11/2011
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