MEDICARE: DR. NASAR A CHAUDHRY PLLC

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	116917	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00025194503	OTHER	NY	UNIVERA PIN
2	P00000200998	OTHER	NY	GHI-FHP PIN
3	000506265005	OTHER	NY	BCBS WESTERN PIN
4	P010116917	OTHER	NY	BLUE CHOICE PIN
5	100664	OTHER	NY	PREFERRED CARE PIN
6	116917	OTHER		LICENSE NUMBER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	2589781	OTHER	NY	GHI PIN
9	000006369	OTHER	NY	BCBS CENTRAL PIN

General Provider Information

NPI Number	:	1225037203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NASAR A CHAUDHRY PLLC

Provider Business Mailing Address
First Line	:	327 SENECA RD
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843-1033
Country	:	US
Telephone Number	:	607-324-5031
Fax Number	:	607-324-0585

Provider Business Practice Location Address
First Line	:	327 SENECA RD
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843-1033
Country	:	US
Telephone Number	:	607-324-5031
Fax Number	:	607-324-0585

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	08/22/2013

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