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NPI Code Detail

MEDICARE: DR. MUBASHIR A. CHAUDHRY D.M.D.

MEDICARE:  DR. MUBASHIR A. CHAUDHRY  D.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
11223P0221XPediatric DentistryDN13783FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861490864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUBASHIR A. CHAUDHRY D.M.D.
Provider Business Mailing Address
First Line : 3518 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-5831
Country : US
Telephone Number : 850-785-0102
Fax Number : 850-785-1003
Provider Business Practice Location Address
First Line : 3518 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-5831
Country : US
Telephone Number : 850-785-0102
Fax Number : 850-785-1003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 04/03/2012

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