Individual
SHUCHI CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 678-2200
(863) 419-4185
Mailing address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 678-2200
(863) 419-4185
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25667
OK
2084N0400X
Neurology Physician
ME133598
FL
2084V0102X
Vascular Neurology Physician
25667
OK
2084V0102X
Vascular Neurology Physician
Primary
ME133598
FL
Other
Enumeration date
07/16/2007
Last updated
03/25/2021
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