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NPI Code Detail

MEDICARE: SANA SHAKEEL CHAUDHRY MD, MPH

MEDICARE: SANA SHAKEEL CHAUDHRY MD, MPH
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH
2208M00000XHospitalist Physician317648NY
3207Q00000XFamily Medicine Physician317648NY

General Provider Information

NPI Number : 1386106607
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANA SHAKEEL CHAUDHRY MD, MPH
Provider Business Mailing Address
First Line : 429 TAYLOR RD
Second Line :
City : HONEOYE FALLS
State : NY
Zip : 14472-9726
Country : US
Telephone Number : 631-223-5190
Fax Number :
Provider Business Practice Location Address
First Line : 350 PARRISH ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1731
Country : US
Telephone Number : 585-396-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 05/05/2026

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