Provider Demographics
NPI:1053441840
Name:INSTITUTE FOR HYPERTENSION AND KIDNEY DISEASES PC
Entity Type:Organization
Organization Name:INSTITUTE FOR HYPERTENSION AND KIDNEY DISEASES PC
Other - Org Name:IHKD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-991-6968
Mailing Address - Street 1:546 ST. GEORGES AVE RTE 27
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065
Mailing Address - Country:US
Mailing Address - Phone:732-381-3642
Mailing Address - Fax:732-396-4463
Practice Address - Street 1:546 ST. GEORGES AVE RTE 27
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065
Practice Address - Country:US
Practice Address - Phone:732-381-3642
Practice Address - Fax:732-396-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07682100207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0054313Medicaid
NJ1053441840Medicare PIN
NJ0054313Medicaid
NJ083300Medicare ID - Type Unspecified
NJ1295709061Medicare PIN
NJ112687Medicare PIN