Most Relevant Information
Provider Data
| NPI Number: | 1003377490 |
| Provider Name: | SHIVADITYA CHOUDHURY |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 1003377490 |
Most Important Dates
| Enumeration Date: | 03/27/2019 |
| Last Updated: | 09/02/2024 |
Provider Practice Location
111 E 210TH ST
BRONX
NY
104672401
Practice Location Phone/Fax
| Phone: | 7189204321 |
| Fax: |
Provider Mailing Location
111 E 210TH ST
BRONX
NY
104672401
Provider Mailing Phone/Fax
| Phone: | 7189204321 |
| Fax: |