Choudhury, Mridani

Choudhury, Mridani is an individual health care provider with primary practice located at 4061 Old Peshtigo Rd , Marinette WI 54143-3887. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Choudhury, Mridani can be contacted via phone (715) 732-8130.

Contact Information

Primary practice address
4061 Old Peshtigo Rd Marinette WI 54143-3887
Phone: (715) 732-8130
Fax: (715) 732-8131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301097036 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 60009-20 Wisconsin

Profile Details

NPI number 1275847519
LBN Legal business name Choudhury, Mridani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2010
Last updated Nov 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275847519 NPPES
Wisconsin MEDICAID 1275847519
Wisconsin MEDICAID 1275847519

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