MEDICARE: BISWASHREE CHAUDHURY M.D.

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
1	207R00000X	Internal Medicine Physician	067401	GA

General Provider Information

NPI Number	:	1477788172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BISWASHREE CHAUDHURY M.D.

Provider Business Mailing Address
First Line	:	1845 SATELLITE BLVD
Second Line	:	SUITE 500
City	:	DULUTH
State	:	GA
Zip	:	30097-5256
Country	:	US
Telephone Number	:	404-778-5220
Fax Number	:	404-778-6451

Provider Business Practice Location Address
First Line	:	1845 SATELLITE BLVD
Second Line	:	SUITE 500
City	:	DULUTH
State	:	GA
Zip	:	30097-5256
Country	:	US
Telephone Number	:	404-778-5220
Fax Number	:	404-778-6451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	08/25/2013

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