MEDICARE: DR. DEEP RAMESHBHAI CHAUDHARY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	073037	NY

General Provider Information

NPI Number	:	1073490827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEEP RAMESHBHAI CHAUDHARY

Provider Business Mailing Address
First Line	:	2904 CARISBROOKE DR
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-2440
Country	:	US
Telephone Number	:	929-232-5930
Fax Number	:	929-232-5930

Provider Business Practice Location Address
First Line	:	2904 CARISBROOKE DR
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-2440
Country	:	US
Telephone Number	:	929-232-5930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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