Provider Demographics
NPI:1124072749
Name:CHAUDHARY, BASHIR A (MD)
Entity type:Individual
Prefix:DR
First Name:BASHIR
Middle Name:A
Last Name:CHAUDHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BASHIR
Other - Middle Name:A
Other - Last Name:CHAUDHARY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3685 WHEELER RD
Mailing Address - Street 2:SUIT 101, SLEEP INSTITUTE OF AUGUSTA
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6446
Mailing Address - Country:US
Mailing Address - Phone:706-868-8555
Mailing Address - Fax:706-868-8022
Practice Address - Street 1:3685 WHEELER RD
Practice Address - Street 2:SUIT 101, SLEEP INSTITUTE OF AUGUSTA
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6446
Practice Address - Country:US
Practice Address - Phone:706-868-8555
Practice Address - Fax:706-868-8022
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA18625207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC907843Medicaid
GA00119721BMedicaid
GA00119721BMedicaid
SC907843Medicaid