Basic Information
Provider Information
NPI: 1144335910
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUDHRY
FirstName: SIDHARTHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MBBS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 LOTHROP ST
Address2: FORBES TOWER 9055
City: PITTSBURGH
State: PA
PostalCode: 152132536
CountryCode: US
TelephoneNumber: 4126473087
FaxNumber: 4126474486
Practice Location
Address1: 3705 5TH AVE
Address2: CHP MT 3950
City: PITTSBURGH
State: PA
PostalCode: 152132584
CountryCode: US
TelephoneNumber: 4126472273
FaxNumber: 4128028221
Other Information
ProviderEnumerationDate: 08/20/2006
LastUpdateDate: 07/20/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XMD431262PAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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