MEDICARE: CHAUDHURI AND CHAUDHURI PHYSICIANS, PLLC

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	207R00000X	Internal Medicine Physician	001998	NY

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

General Provider Information

NPI Number	:	1053512699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAUDHURI AND CHAUDHURI PHYSICIANS, PLLC

Provider Business Mailing Address
First Line	:	4525 WITMER RD
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14305-1341
Country	:	US
Telephone Number	:	716-402-5533
Fax Number	:	716-371-2863

Provider Business Practice Location Address
First Line	:	4525 WITMER RD
Second Line	:
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14305-1341
Country	:	US
Telephone Number	:	716-402-5533
Fax Number	:	716-371-2863

Authorized Official
Title or Position	:	OWNER
Name	:	JAYANTA CHAUDHURI
Credential	:	MD
Telephone Number	:	716-297-0185

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	05/21/2026

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