Individual
SATISH K CHOUDHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7974 HAVEN AVE, STE 200, RANCHO CUCAMONGA, CA 91730-3052
(909) 476-6743
(909) 581-0948
Mailing address
PO BOX 8000, LA VERNE, CA 91750-8000
(909) 476-6743
(909) 581-0948
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A044578
CA
207RI0011X
Interventional Cardiology Physician
A044578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A445780
BLUESHIELD OF CALIFORNIA
CA
05
—
00A445781
—
CA
01
—
060025151
RAIL ROAD MEDICARE
CA
Enumeration date
05/31/2006
Last updated
03/17/2018
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