MEDICARE: NEHA CHAUDHARY M.D.

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	2084P0800X	Psychiatry Physician	Q6815	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1720346315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA CHAUDHARY M.D.

Provider Business Mailing Address
First Line	:	4508 BYRON CIR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-6325
Country	:	US
Telephone Number	:	484-951-9088
Fax Number	:

Provider Business Practice Location Address
First Line	:	4508 BYRON CIR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-6325
Country	:	US
Telephone Number	:	484-951-9088
Fax Number	:

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

Provider Enumeration Date	:	05/02/2012
Last Update Date	:	07/08/2016

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