Healthcare Provider Details

I. General information

NPI: 1235459694
Provider Name (Legal Business Name): FOIQA ASGHAR CHAUDHRY M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 10/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 TRANSVERSE DR RUPPERT HEATLH CENTER
TOLEDO OH
43614-8008
US

IV. Provider business mailing address

3355 GLENDALE AVE 3RD FL
TOLEDO OH
43614-2426
US

V. Phone/Fax

Practice location:
  • Phone: 419-383-3780
  • Fax: 419-383-2023
Mailing address:
  • Phone: 419-383-7100
  • Fax: 419-383-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME121781
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35.127479
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: