MEDICARE: DR. TRIPTESH K CHAUDHURY 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
1	2085R0001X	Radiation Oncology Physician	H1872	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1548242720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRIPTESH K CHAUDHURY MD

Provider Business Mailing Address
First Line	:	P O BOX 1823
Second Line	:
City	:	NEDERLAND
State	:	TX
Zip	:	77627
Country	:	US
Telephone Number	:	409-293-4242
Fax Number	:	409-853-1108

Provider Business Practice Location Address
First Line	:	10700 MCPHERSON RD
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-6268
Country	:	US
Telephone Number	:	956-523-2000
Fax Number	:

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	01/30/2020

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