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NPI Code Detail

MEDICARE: SHASHI CHADDHA MD

MEDICARE: SHASHI CHADDHA MD
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
12085R0202XDiagnostic Radiology Physician016038CT
22085N0700XNeuroradiology Physician016038CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063493682
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHASHI CHADDHA MD
Provider Business Mailing Address
First Line : PO BOX 9135
Second Line : ATT:SHARON SILVA
City : BROOKLINE
State : MA
Zip : 02446-9135
Country : US
Telephone Number : 603-890-4404
Fax Number :
Provider Business Practice Location Address
First Line : 2800 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-4201
Country : US
Telephone Number : 203-576-5067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 12/10/2009

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Directions to “ SHASHI CHADDHA MD” Practice Location

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