MEDICARE: DR. PRIYANK CHAUDHARY M.D., MBS

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	207RR0500X	Rheumatology Physician	2016-00501	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PO1948472	OTHER	NC	RAILROAD MEDICARE
7	NCV557B	OTHER	NC	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5140525	OTHER	NC	CIGNA
3	19MLL	OTHER	NC	BCBS
4	6008043	OTHER	NC	AETNA
5	6282002	OTHER	NC	UNITED HEALTH CARE
6	271047	OTHER	NC	MEDCOST
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437447844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIYANK CHAUDHARY M.D., MBS

Provider Business Mailing Address
First Line	:	11009 INGLESIDE PL STE 303
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-6697
Country	:	US
Telephone Number	:	919-341-3603
Fax Number	:	919-341-3610

Provider Business Practice Location Address
First Line	:	11009 INGLESIDE PL STE 303
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-6697
Country	:	US
Telephone Number	:	919-341-3603
Fax Number	:	919-341-3610

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

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	01/31/2022

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Directions to “ DR. PRIYANK CHAUDHARY M.D., MBS” Practice Location

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