MEDICARE: NASAR A CHAUDHRY, PHYSICIAN, 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	209800000X	Legal Medicine (M.D./D.O.) Physician	116917	NY
2	207R00000X	Internal Medicine Physician	116917	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	:	1306019617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NASAR A CHAUDHRY, PHYSICIAN, PLLC

Provider Business Mailing Address
First Line	:	327 SENECA RD
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843-1033
Country	:	US
Telephone Number	:	607-324-5031
Fax Number	:	607-324-0585

Provider Business Practice Location Address
First Line	:	327 SENECA RD
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843-1033
Country	:	US
Telephone Number	:	607-324-5031
Fax Number	:	607-324-0585

Authorized Official
Title or Position	:	OWNER, PHYSICIAN
Name	:	NASAR A CHAUDHRY
Credential	:	PHYSICIAN, PLLC
Telephone Number	:	607-324-5031

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	07/08/2013

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