Provider Demographics
NPI:1366600702
Name:CHAUDHRY, PRIYANKA (MD)
Entity type:Individual
Prefix:
First Name:PRIYANKA
Middle Name:
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:106 OLYMPIA LN
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5071
Mailing Address - Country:US
Mailing Address - Phone:972-564-0352
Mailing Address - Fax:972-552-7447
Practice Address - Street 1:9101 N CENTRAL EXPY STE 400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-6009
Practice Address - Country:US
Practice Address - Phone:214-820-9272
Practice Address - Fax:214-820-9003
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP36142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology