Provider Demographics
NPI:1992725147
Name:CHAUDHRY, AHSEN RAZA (MD)
Entity type:Individual
Prefix:DR
First Name:AHSEN
Middle Name:RAZA
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AHSAN
Other - Middle Name:RAZA
Other - Last Name:CHAUDHERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1005 DR. D. B. TODD BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208
Mailing Address - Country:US
Mailing Address - Phone:615-327-6109
Mailing Address - Fax:615-327-5547
Practice Address - Street 1:1005 DR. D. B. TODD BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-327-6109
Practice Address - Fax:615-327-5547
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41351207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3817357Medicaid
TN3817357Medicaid
TNI06768Medicare UPIN