Mithu Chaudhury, DO | |
324 E 10th Ave Ste 178, Salt Lake City, UT 84103-2885 | |
(801) 408-8500 | |
Not Available |
Full Name | Mithu Chaudhury |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 324 E 10th Ave Ste 178, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245650266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 10722408-1204 (Utah) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | R8329 (Texas) | Primary |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
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Mithu Chaudhury, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Mithu Chaudhury, DO 324 E 10th Ave Ste 178, Salt Lake City, UT 84103-2885 Ph: (801) 408-8500 |
Dr. Eric Thayne Monson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096 | |
Dr. Gerald Martin Lazar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109 Phone: 801-746-2297 Fax: 801-322-3890 | |
Muharrem B. Baytunca, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-4096 | |
Leah M. Fortson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Huntsman Mental Health Institute, 501 Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096 | |
Christopher R. Sweeney, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-7951 Fax: 801-581-5604 | |
Norman L. Foster, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-6387 | |
Dr. Amy Gallop Weagley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-2121 |