Provider Demographics
NPI:1811965668
Name:CHAUDHRY, ARSHAD NAZIR (MD)
Entity type:Individual
Prefix:DR
First Name:ARSHAD
Middle Name:NAZIR
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 EXECUTIVE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6285
Mailing Address - Country:US
Mailing Address - Phone:740-387-4090
Mailing Address - Fax:740-387-5906
Practice Address - Street 1:125 EXECUTIVE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6285
Practice Address - Country:US
Practice Address - Phone:740-387-4090
Practice Address - Fax:740-387-5906
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-047804207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0494906Medicaid
0516056Medicare PIN
A15173Medicare UPIN