Healthcare Provider Details

I. General information

NPI: 1497198295
Provider Name (Legal Business Name): HIRA CHAUDHRY RICHTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HIRA CHAUDHRY MD

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 10/24/2020
Certification Date: 10/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GALLOWS RD DEPT OF MEDICINE
FALLS CHURCH VA
22042-3307
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 703-776-3582
  • Fax: 703-776-3020
Mailing address:
  • Phone: 717-851-1405
  • Fax: 615-800-8610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD464801
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number0101269600
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101269600
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: