Healthcare Provider Details

I. General information

NPI: 1043905037
Provider Name (Legal Business Name): NIDHIBEN CHAUDHARI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NIDHI CHAUDHARI

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 W 8TH ST
NEW YORK NY
10011-9092
US

IV. Provider business mailing address

52 W 8TH ST
NEW YORK NY
10011-9092
US

V. Phone/Fax

Practice location:
  • Phone: 212-466-4848
  • Fax:
Mailing address:
  • Phone: 212-466-4848
  • Fax: 443-777-8489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number345102
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: