Provider Demographics
NPI:1154976793
Name:CHAUDHRY, HAMZAH ZAHID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HAMZAH
Middle Name:ZAHID
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 OCEAN TER
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4526
Mailing Address - Country:US
Mailing Address - Phone:347-873-2887
Mailing Address - Fax:
Practice Address - Street 1:1337 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2294
Practice Address - Country:US
Practice Address - Phone:718-564-2358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYME08335GMedicaid