Healthcare Provider Details

I. General information

NPI: 1922232479
Provider Name (Legal Business Name): SHAHIDA NASREEN CHAUDRY REGISTERED RESP. THE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAHIDA NASREEN QURASHI RRT

II. Dates (important events)

Enumeration Date: 05/13/2009
Last Update Date: 05/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 NORTH GREENE STREET
BALTIMORE MD
21201
US

IV. Provider business mailing address

10 NORTH GREENE STREET
BALTIMORE MD
21201
US

V. Phone/Fax

Practice location:
  • Phone: 410-605-7000
  • Fax: 410-605-7915
Mailing address:
  • Phone: 410-605-7000
  • Fax: 410-605-7915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberL01587
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: