Healthcare Provider Details

I. General information

NPI: 1720550163
Provider Name (Legal Business Name): DR. NADEEM CHAUDHRY MEDICAL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2018
Last Update Date: 12/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8411 7TH AVE
BROOKLYN NY
11228-3240
US

IV. Provider business mailing address

8411 7TH AVE
BROOKLYN NY
11228-3240
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 Number
License Number State

VIII. Authorized Official

Name: DR. NADEEM A CHAUDHRY
Title or Position: PRESIDENT
Credential: MD
Phone: 718-921-4181