Provider Demographics
NPI:1437447844
Name:CHAUDHARY, PRIYANK (MD, MBS)
Entity Type:Individual
Prefix:DR
First Name:PRIYANK
Middle Name:
Last Name:CHAUDHARY
Suffix:
Gender:M
Credentials:MD, MBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11009 INGLESIDE PL STE 303
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6697
Mailing Address - Country:US
Mailing Address - Phone:919-341-3603
Mailing Address - Fax:919-341-3610
Practice Address - Street 1:11009 INGLESIDE PL STE 303
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6697
Practice Address - Country:US
Practice Address - Phone:919-341-3603
Practice Address - Fax:919-341-3610
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-00501207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5140525OtherCIGNA
NCPO1948472OtherRAILROAD MEDICARE
NC19MLLOtherBCBS
NC6008043OtherAETNA
NC6282002OtherUNITED HEALTH CARE
NC271047OtherMEDCOST
NCNCV557BOtherMEDICARE
NC1437447844Medicaid