Provider Demographics
NPI:1073600078
Name:CHAUDRI, REEMA ASIF (MD)
Entity Type:Individual
Prefix:DR
First Name:REEMA
Middle Name:ASIF
Last Name:CHAUDRI
Suffix:
Gender:F
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 791775
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-1775
Mailing Address - Country:US
Mailing Address - Phone:470-276-7931
Mailing Address - Fax:470-276-9046
Practice Address - Street 1:1488 NORTHPOINT VILLAGE CTR
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20194-1190
Practice Address - Country:US
Practice Address - Phone:571-786-1024
Practice Address - Fax:571-786-1025
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101230261207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
187261OtherANTHEM PROVIDER NUMBER
7566280OtherAETNA PROVIDER NUMBER
745964OtherNCPPO PROVIDER NUMBER
610472100OtherDEPT. OF LABOR PROVIDER #
VA010208475Medicaid
0228485OtherUHC PROVIDER NUMBER
745964OtherNCPPO PROVIDER NUMBER
VA00W645A01Medicare PIN