Basic Information
Provider Information
NPI: 1497068837
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SATYAL CHAUDHARY
FirstName: ARCHANA
MiddleName:  
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Credential:  
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Mailing Information
Address1: 2450 W HUNTING PARK AVE
Address2: @ND FLOOR TPI
City: PHILADELPHIA
State: PA
PostalCode: 191291302
CountryCode: US
TelephoneNumber: 2159269022
FaxNumber: 2152268286
Practice Location
Address1: 7600 CENTRAL AVE
Address2: 2ND FLOOR FOUNDERS BUILDING
City: PHILADELPHIA
State: PA
PostalCode: 191112442
CountryCode: US
TelephoneNumber: 2157282276
FaxNumber: 2152144119
Other Information
ProviderEnumerationDate: 07/14/2010
LastUpdateDate: 05/13/2021
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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NPICertificationDate: 05/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD449244PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XMD449244PAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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