Individual
MUDIT CHOWDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 PROFESSIONAL DR STE 100, LAWRENCEVILLE, GA 30046-3370
(404) 851-8850
Mailing address
11290 OLBRICH TRL, JOHNS CREEK, GA 30097-2613
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
92815
GA
2085R0001X
Radiation Oncology Physician
MD17460
RI
390200000X
Student in an Organized Health Care Education/Training Program
125.069887
IL
Other
Enumeration date
03/24/2016
Last updated
07/26/2022
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