Basic Information
| Provider Information | |||||||||
| NPI: | 1861471815 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAUDHARY | ||||||||
| FirstName: | SEEMA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2101 E JEFFERSON ST | ||||||||
| Address2: | KAISER PERMANENTE MEDICARE ENROLLMENT | ||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208524908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018162424 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6501 LOISDALE CT | ||||||||
| Address2: | KAISER PERMANENTE SPRINGFIELD MEDICAL CTR | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221501826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7039221000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2006 | ||||||||
| LastUpdateDate: | 11/22/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0505X | 0101246967 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
ID Information
| ID | Type | State | Issuer | Description | 201266825 | 01 | FL | BEECH STREET | OTHER | 2442180 | 01 | UNITED HEALTH CARE | OTHER | 30454201 | 01 | FL | CITRUS-49TH STREET | OTHER | 30454202 | 01 | FL | CITRUS-PASADENA AVE S | OTHER | P00662865 | 01 | FL | MEDICARE-RAILROAD | OTHER | PCP1592 | 01 | FL | QUALITY HEALTH PLANS-PASADENA | OTHER | PCP1594 | 01 | FL | QUALITY HEALTH PLANS-ICOT | OTHER | 1063481 | 01 | FL | CAREPLUS-PASADENA AVE S | OTHER | 30454203 | 01 | FL | CITRUS-WEST BAY | OTHER | 1063480 | 01 | FL | CAREPLUS-49TH STREET | OTHER | 292949 | 01 | FL | AVMED | OTHER | 4647936 | 01 | FL | CIGNA | OTHER | 7761591 | 01 | FM | AETNA | OTHER | 1063482 | 01 | FL | CAREPLUS-WEST BAY | OTHER | 201266825 | 01 | FL | AVALON | OTHER | 269342900 | 05 | FL | MEDICAID | P103476 | 01 | FL | FREEDOM HEALTH | OTHER | 48102 | 01 | FL | BLUE CROSS BLUE SHEILD OF FLORIDA | OTHER | 1699836 | 01 | FL | AETNA-HMO | OTHER | 269342900 | 01 | FL | MEDIPASS | OTHER | PCP1593 | 01 | FL | QUALITY HEALTH PLANS-WEST BAY DR | OTHER | 01163123 | 01 | FL | AMERIGROUP-MEDICARE | OTHER | PCP1591 | 01 | FL | QUALITY HEALTH PLANS-49TH STREET | OTHER |