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Individual

DR. KALLOL CHAUDHURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27557
WV
207L00000X
Anesthesiology Physician
J5281
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119239501
TX
05
119239504
TX
Enumeration date
04/07/2006
Last updated
07/21/2022
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