Provider Demographics
NPI:1740864560
Name:CHAUDHURI, SHOMBIT ROY (MD)
Entity type:Individual
Prefix:
First Name:SHOMBIT
Middle Name:ROY
Last Name:CHAUDHURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1526
Mailing Address - Country:US
Mailing Address - Phone:484-477-5047
Mailing Address - Fax:
Practice Address - Street 1:305 EAST 161 STREET; COMPREHENSIVE HEALTH CARE CENTER
Practice Address - Street 2:BRONX, NY 10451
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330607207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine