MEDICARE: SAJID CHAUDHARY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	ME 90758	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	U3407Z	OTHER	FL	PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043311707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAJID CHAUDHARY MD

Provider Business Mailing Address
First Line	:	201 HILDA ST
Second Line	:	#22
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-2320
Country	:	US
Telephone Number	:	407-279-5069
Fax Number	:	407-378-3076

Provider Business Practice Location Address
First Line	:	102 PARK PLACE BLVD.
Second Line	:	BLDG D, SUITE 2 &3
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-2358
Country	:	US
Telephone Number	:	407-279-5069
Fax Number	:	407-378-3076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	02/01/2016

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Directions to “ SAJID CHAUDHARY MD” Practice Location

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