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Individual

SHELLY CHATTERJEE CHOUDHURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
25845 BARTON RD STE F, LOMA LINDA, CA 92354
(909) 558-3904
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A145691
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
A145691
CA

Other

Enumeration date
06/30/2012
Last updated
07/30/2018
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