Provider Demographics
NPI:1396811279
Name:CHAUDHARI, ASHISH CHANDU (MD)
Entity type:Individual
Prefix:
First Name:ASHISH
Middle Name:CHANDU
Last Name:CHAUDHARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 PLEASANT ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2588
Mailing Address - Country:US
Mailing Address - Phone:603-228-8383
Mailing Address - Fax:603-228-7005
Practice Address - Street 1:248 PLEASANT ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-228-8383
Practice Address - Fax:603-228-7005
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11302207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30201570Medicaid
NHRE6268Medicare ID - Type Unspecified
H42612Medicare UPIN