Individual
SHRUTI G CHAURASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6350 S MAPLE AVE, TEMPE, AZ 85283
(480) 345-5400
Mailing address
PO BOX 5803, SCOTTSDALE, AZ 85261-5803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36274
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168154
—
AZ
Enumeration date
12/20/2006
Last updated
09/23/2019
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