MEDICARE: DR. REEMA ASIF CHAUDRI MD

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	207R00000X	Internal Medicine Physician	0101230261	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	187261	OTHER	ANTHEM PROVIDER NUMBER
2	7566280	OTHER	AETNA PROVIDER NUMBER
3	745964	OTHER	NCPPO PROVIDER NUMBER
4	610472100	OTHER	DEPT. OF LABOR PROVIDER #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0228485	OTHER	UHC PROVIDER NUMBER

General Provider Information

NPI Number	:	1073600078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REEMA ASIF CHAUDRI MD

Provider Business Mailing Address
First Line	:	PO BOX 791775
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21279-1775
Country	:	US
Telephone Number	:	470-276-7931
Fax Number	:	470-276-9046

Provider Business Practice Location Address
First Line	:	1488 NORTHPOINT VILLAGE CTR
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20194-1190
Country	:	US
Telephone Number	:	571-786-1024
Fax Number	:	571-786-1025

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	11/08/2022

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