Provider Demographics
NPI:1982882056
Name:WOODHAM, PADMASHREE CHAUDHURY (MD)
Entity Type:Individual
Prefix:DR
First Name:PADMASHREE
Middle Name:CHAUDHURY
Last Name:WOODHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PADMASHREE
Other - Middle Name:
Other - Last Name:CHAUDHURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:840 PINE ST
Mailing Address - Street 2:SUITE 990
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2100
Mailing Address - Country:US
Mailing Address - Phone:478-738-0404
Mailing Address - Fax:478-738-0805
Practice Address - Street 1:840 PINE ST
Practice Address - Street 2:SUITE 990
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2100
Practice Address - Country:US
Practice Address - Phone:478-738-0404
Practice Address - Fax:478-738-0805
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA063306207VM0101X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine