Basic Information
Provider Information
NPI: 1811976582
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUDARY
FirstName: NAUMAN
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 91734
Address2:  
City: RICHMOND
State: VA
PostalCode: 232911734
CountryCode: US
TelephoneNumber: 8043586100
FaxNumber: 8043427619
Practice Location
Address1: 417 N 11TH ST
Address2:  
City: RICHMOND
State: VA
PostalCode: 232985024
CountryCode: US
TelephoneNumber: 8048282161
FaxNumber: 8048283673
Other Information
ProviderEnumerationDate: 01/11/2006
LastUpdateDate: 02/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XME105962FLN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X21055WVN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XME105962FLN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X21055WVN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X0101253497VAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
0460981705MS MEDICAID
12500105AL MEDICAID
0016841-0005FL MEDICAID
143422463A05GA MEDICAID


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