Provider Demographics
NPI:1811976582
Name:CHAUDARY, NAUMAN A (MD)
Entity type:Individual
Prefix:DR
First Name:NAUMAN
Middle Name:A
Last Name:CHAUDARY
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:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:417 N 11TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5024
Practice Address - Country:US
Practice Address - Phone:804-828-2161
Practice Address - Fax:804-828-3673
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105962207RC0200X, 207RP1001X
WV21055207RC0200X, 207RP1001X
VA0101253497207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04609817Medicaid
AL125001Medicaid
FL0016841-00Medicaid
GA143422463AMedicaid
FLP00807788Medicare PIN
AL125001Medicaid
MS302I292327Medicare PIN
MS04609817Medicaid