MEDICARE: DR. KANOOZ UL QADIR 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	207Q00000X	Family Medicine Physician	35.142435	OH

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	:	1649760992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KANOOZ UL QADIR CHAUDHARY MD

Provider Business Mailing Address
First Line	:	100 ARROW SPRINGS BLVD STE 2700
Second Line	:
City	:	LEBANON
State	:	OH
Zip	:	45036-7019
Country	:	US
Telephone Number	:	513-282-7911
Fax Number	:	513-282-7900

Provider Business Practice Location Address
First Line	:	100 ARROW SPRINGS BLVD STE 2700
Second Line	:
City	:	LEBANON
State	:	OH
Zip	:	45036-7019
Country	:	US
Telephone Number	:	513-282-7911
Fax Number	:	513-282-7900

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

Provider Enumeration Date	:	05/12/2018
Last Update Date	:	07/20/2023

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Directions to “ DR. KANOOZ UL QADIR CHAUDHARY MD” Practice Location

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