Individual
ANJALI CHAUDHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
402 NORTH AVE NE, ATLANTA, GA 30308-2504
(770) 722-0112
Mailing address
5875 HERITAGE LN, STONE MOUNTAIN, GA 30087-1848
(770) 722-0112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5360
OK
208000000X
Pediatrics Physician
Primary
75610
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2011
Last updated
05/17/2016
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