Healthcare Provider Details

I. General information

NPI: 1932529732
Provider Name (Legal Business Name): MUNIR CHAUDHURI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2014
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S PIERCE ST STE 102
EL CAJON CA
92020-4124
US

IV. Provider business mailing address

3131 BERGER AVE STE 200
SAN DIEGO CA
92123-4203
US

V. Phone/Fax

Practice location:
  • Phone: 619-668-4700
  • Fax: 619-668-0049
Mailing address:
  • Phone: 858-244-6800
  • Fax: 858-244-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA142531
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: