Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 71727 | TN |
N | 2080P0208X | Pediatric Infectious Diseases | 31267 | TN |
NPI | 1245218460 |
---|---|
Provider Name | Dr. Shahana Ashraf Choudhury |
First Address | Nashville, TN 37203 |
Second Address | Clarksville, TN 37043-8943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 28/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3897878 | (05) | TN |
5441915 | (05) | TN |
G78137 | (02) | TN |