MEDICARE: DR. ASAD CHAUDHRY

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	207RC0000X	Cardiovascular Disease Physician	0101255263	VA

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538339213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASAD CHAUDHRY

Provider Business Mailing Address
First Line	:	2901 TELESTAR CT.
Second Line	:	#300
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-1263
Country	:	US
Telephone Number	:	703-591-1688
Fax Number	:	703-591-1445

Provider Business Practice Location Address
First Line	:	24430 STONE SPRINGS BLVD # 425
Second Line	:
City	:	DULLES
State	:	VA
Zip	:	20166-2247
Country	:	US
Telephone Number	:	703-722-5860
Fax Number	:	703-722-5861

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

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	08/26/2021

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