NPI Code Details Logo

NPI 1790671469

NPI 1790671469 : BILAL ASHRAF CHAUDHARY DDS, MS : SAN DIEGO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790671469
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BILAL ASHRAF CHAUDHARY DDS, MS
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/17/2025
-----------------------------------------------------
    Last Update Date     |    07/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9870 HIBERT ST STE D9 
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92131-1091
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-433-7377
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2020 EL CAJON BLVD APT 600 
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92104-3882
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    646-407-5185
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223X0400X
-----------------------------------------------------
    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
    License Number       |    DDS111363
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.