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NPI Code Detail

MEDICARE: SHWETA CHAUDHARY

MEDICARE:   SHWETA  CHAUDHARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician53214CT
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician268791NY

General Provider Information

NPI Number : 1356631279
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHWETA CHAUDHARY
Provider Business Mailing Address
First Line : 6 OHIO DR STE 202
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11042-1129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6 OHIO DR STE 202
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11042-1129
Country : US
Telephone Number : 516-304-7221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2011
Last Update Date : 03/08/2017

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Directions to “ SHWETA CHAUDHARY ” Practice Location

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