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Individual

DR. VIMAL B CHOUDHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(843) 792-1414
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101242390
VA
207L00000X
Anesthesiology Physician
2016-02291
NC
207L00000X
Anesthesiology Physician
21895
WV
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MMD.39240
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810003242
WV
Enumeration date
09/21/2006
Last updated
08/04/2022
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