Doctor Name: | DR. SHUBHASREE DUTTA CHOUDHURY |
NPI Number: | 1285994640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 60796 |
Business Practice Address: | 99 Beauvoir Ave Dept Of Medical Education Summit, NJ - 079013533 |
Business Phone Number: | 9085222987 |
Business Fax Number: | |
Mailing Address: | 10 Overlook Rd, Apartment 6f SUMMIT |
State: | NJ |
Postal Code: | 079013554 |
Phone Number: | 9087237084 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2012 |
NPI Last Update Date: | 05/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 60796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ZZ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |