Provider Demographics
NPI:1205405628
Name:CHAUDHRY, RAMEEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAMEEN
Middle Name:
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NORWICH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-6410
Mailing Address - Country:US
Mailing Address - Phone:732-910-3544
Mailing Address - Fax:
Practice Address - Street 1:5960 THREE NOTCH,D ROAD
Practice Address - Street 2:5690 THREE NOTCHED ROAD
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932
Practice Address - Country:US
Practice Address - Phone:434-823-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DR036151223G0001X
VA0401418108122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice