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NPI Code Detail

MEDICARE: CHIRAG CHOUDHARY M.D.

MEDICARE: CHIRAG CHOUDHARY 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianME166806FL

General Provider Information

NPI Number : 1508032137
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIRAG CHOUDHARY M.D.
Provider Business Mailing Address
First Line : 10000 SW INNOVATION WAY
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34987-2111
Country : US
Telephone Number : 216-316-8115
Fax Number :
Provider Business Practice Location Address
First Line : 10000 SW INNOVATION WAY
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34987-2111
Country : US
Telephone Number : 216-316-8115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2008
Last Update Date : 03/11/2024

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Directions to “ CHIRAG CHOUDHARY M.D.” Practice Location

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