Individual
SHOBHANA CHAUDHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-6771
Mailing address
87 MAIN ST APT B4, TARRYTOWN, NY 10591-3657
(914) 332-0014
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
172530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01044155
—
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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