Provider Demographics
NPI:1275038747
Name:AZAD, CHAO LONG (MD MPH)
Entity type:Individual
Prefix:DR
First Name:CHAO
Middle Name:LONG
Last Name:AZAD
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2341 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-0030
Mailing Address - Country:US
Mailing Address - Phone:304-688-8304
Mailing Address - Fax:
Practice Address - Street 1:3333 N CALVERT ST STE 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-6505
Practice Address - Country:US
Practice Address - Phone:410-235-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD01036312082S0105X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand