Provider Demographics
NPI:1518946417
Name:CHAUDHARI, SEEMA B (MD)
Entity Type:Individual
Prefix:MRS
First Name:SEEMA
Middle Name:B
Last Name:CHAUDHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12185-1723
Mailing Address - Country:US
Mailing Address - Phone:518-753-7697
Mailing Address - Fax:
Practice Address - Street 1:33 GILBERT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CAMBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:12816-2643
Practice Address - Country:US
Practice Address - Phone:518-677-8575
Practice Address - Fax:518-677-2580
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2005392080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01673821Medicaid
NYBB2209Medicare ID - Type Unspecified
NYG79698Medicare UPIN