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NPI Code Detail

MEDICARE: DR. UZMA KHALID CHAUDHRY M.D.

MEDICARE: DR. UZMA KHALID CHAUDHRY 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
1207Q00000XFamily Medicine PhysicianA79616CA
2207R00000XInternal Medicine PhysicianA79616CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A79616OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1871524017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. UZMA KHALID CHAUDHRY M.D.
Provider Business Mailing Address
First Line : 150 TEJAS PL
Second Line : PO BOX 430
City : NIPOMO
State : CA
Zip : 93444-9123
Country : US
Telephone Number : 805-929-3211
Fax Number : 805-929-6440
Provider Business Practice Location Address
First Line : 150 TEJAS PL
Second Line :
City : NIPOMO
State : CA
Zip : 93444-9123
Country : US
Telephone Number : 805-929-3211
Fax Number : 805-929-6359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 02/25/2013

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