Provider Demographics
NPI:1134298540
Name:CHAUDHARI, SMITA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SMITA
Middle Name:C
Last Name:CHAUDHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SMITA
Other - Middle Name:S
Other - Last Name:KHERDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:47 HIGH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2662
Mailing Address - Country:US
Mailing Address - Phone:978-258-4734
Mailing Address - Fax:
Practice Address - Street 1:505 NASHUA RD STE 8
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-1929
Practice Address - Country:US
Practice Address - Phone:978-957-4474
Practice Address - Fax:603-577-5644
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13322207R00000X
MA233181207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine