Provider Demographics
NPI:1215002191
Name:CHAUDHARY, KESAR J (MD)
Entity Type:Individual
Prefix:DR
First Name:KESAR
Middle Name:J
Last Name:CHAUDHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KESAR
Other - Middle Name:
Other - Last Name:JEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12820 MACBETH FARM LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1555
Mailing Address - Country:US
Mailing Address - Phone:609-680-9119
Mailing Address - Fax:
Practice Address - Street 1:9801 GEORGIA AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-284-8909
Practice Address - Fax:301-593-9055
Is Sole Proprietor?:No
Enumeration Date:2006-11-23
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238885208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice