Provider Demographics
NPI:1538493739
Name:CHAUDHURI, SUDIPTA KUMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:SUDIPTA
Middle Name:KUMAR
Last Name:CHAUDHURI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 DRAKE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1030
Mailing Address - Country:US
Mailing Address - Phone:281-501-2411
Mailing Address - Fax:
Practice Address - Street 1:133 NORTHPOINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3207
Practice Address - Country:US
Practice Address - Phone:281-272-0888
Practice Address - Fax:281-272-0895
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3550207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine