Healthcare Provider Details

I. General information

NPI: 1255367793
Provider Name (Legal Business Name): MADHU CHHANDA CHOUDHARY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 05/24/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 5TH AVE FALK CLINIC SUITE 700
PITTSBURGH PA
15213-3320
US

IV. Provider business mailing address

3520 5TH AVE STE 510 FALK CLINIC SUITE 700
PITTSBURGH PA
15213-3313
US

V. Phone/Fax

Practice location:
  • Phone: 412-383-2056
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number465517
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: