Doctor Name: | LEENA CHAUDHURY |
NPI Number: | 1548605686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 134288 |
Business Practice Address: | 2222 E Orangeburg Ave Ste A2 Modesto, CA - 953553399 |
Business Phone Number: | 2096220877 |
Business Fax Number: | |
Mailing Address: | 2222 E Orangeburg Ave Ste A2, MODESTO |
State: | CA |
Postal Code: | 953553399 |
Phone Number: | 2096220877 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2013 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 134288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |