Provider Demographics
NPI:1902250814
Name:CHAUDHARY, MIHIR JAY (MD)
Entity type:Individual
Prefix:
First Name:MIHIR
Middle Name:JAY
Last Name:CHAUDHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:69 JESSE HILL JR. DRIVE SW
Mailing Address - Street 2:FLOOR 3, GLENN MEMORIAL BUILDING
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-251-8915
Mailing Address - Fax:404-523-3931
Practice Address - Street 1:69 JESSE HILL JR. DRIVE, SW
Practice Address - Street 2:GLENN MEMORIAL BUILDING, 3RD FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-251-8915
Practice Address - Fax:404-523-3931
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-17
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0361652882086S0102X
CA1902250814208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care