Healthcare Provider Details

I. General information

NPI: 1295741395
Provider Name (Legal Business Name): NADEEM AHMAD CHAUDHRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8411 7TH AVENUE
BROOKLYN NY
11228-3240
US

IV. Provider business mailing address

8411 7TH AVENUE
BROOKLYN NY
11228-3243
US

V. Phone/Fax

Practice location:
  • Phone: 718-921-4181
  • Fax: 718-250-6080
Mailing address:
  • Phone: 718-921-4181
  • Fax: 718-250-6080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number202480
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: