Provider Demographics
NPI:1104569615
Name:CHAUDHARY, HIRA (DO)
Entity type:Individual
Prefix:
First Name:HIRA
Middle Name:
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:HIRA
Other - Middle Name:
Other - Last Name:CHAUDHRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:255 MCKEE ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1314
Mailing Address - Country:US
Mailing Address - Phone:516-884-7539
Mailing Address - Fax:
Practice Address - Street 1:2001 W 68TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1898
Practice Address - Country:US
Practice Address - Phone:305-364-2107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program