Individual
DR. DEBASISH CHAUDHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3340 W OKMULGEE ST, MUSKOGEE, OK 74401-5069
(918) 687-6002
(918) 687-6216
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32245
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811927833
NPI
—
05
—
200593240A
—
OK
01
—
750137
MEDICARE
TX
Enumeration date
07/04/2006
Last updated
08/10/2020
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