MEDICARE: CHIRAG B 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	207X00000X	Orthopaedic Surgery Physician	MD490011	PA

General Provider Information

NPI Number	:	1083217533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIRAG B CHAUDHARY MD

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE # PA
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-3034
Country	:	US
Telephone Number	:	570-808-1093
Fax Number	:	570-808-7878

Provider Business Practice Location Address
First Line	:	1175 EAST MOUNTAIN BOULEVARD
Second Line	:
City	:	WILKES-BARRE
State	:	PA
Zip	:	18702
Country	:	US
Telephone Number	:	570-808-1093
Fax Number	:	570-808-7878

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

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	02/09/2026

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Directions to “ CHIRAG B CHAUDHARY MD” Practice Location

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