Provider Demographics
NPI:1043581978
Name:AFTAB CHAUDHRI
Entity Type:Organization
Organization Name:AFTAB CHAUDHRI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AFTAB
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAUDHRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-352-1124
Mailing Address - Street 1:965 FENWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-2324
Mailing Address - Country:US
Mailing Address - Phone:516-352-1124
Mailing Address - Fax:
Practice Address - Street 1:965 FENWORTH BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-2324
Practice Address - Country:US
Practice Address - Phone:516-352-1124
Practice Address - Fax:516-352-0518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY729165207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty