Healthcare Provider Details

I. General information

NPI: 1548468705
Provider Name (Legal Business Name): ZULFIQAR A. CHAUDHRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 BIRNIE AVE STE 202 HAMPDEN COUNTY PHYSICIAN ASSOCIATES
SPRINGFIELD MA
01107-1109
US

IV. Provider business mailing address

354 BIRNIE AVE STE 202 HAMPDEN COUNTY PHYSICIAN ASSOCIATES
SPRINGFIELD MA
01107-1109
US

V. Phone/Fax

Practice location:
  • Phone: 413-733-3470
  • Fax: 413-732-4216
Mailing address:
  • Phone: 413-733-3470
  • Fax: 413-732-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number240376
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: