Individual
MYRA A CHAUDARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 WARREN AVE STE 400, EAST PROVIDENCE, RI 02914
(401) 331-1221
(401) 751-8003
Mailing address
10 DAVOL SQ STE 104, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00911
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821478124
—
RI
Enumeration date
06/02/2015
Last updated
04/09/2024
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