Individual
DR. SWETA B. CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
(417) 820-2100
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015021617
MO
207R00000X
Internal Medicine Physician
MT200802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750639365
—
MO
Enumeration date
08/29/2012
Last updated
11/06/2015
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