Provider Demographics
NPI:1558327940
Name:CHAUDHARY, HIJAB (MD)
Entity Type:Individual
Prefix:DR
First Name:HIJAB
Middle Name:
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 MOUNT AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5502
Mailing Address - Country:US
Mailing Address - Phone:617-499-5595
Mailing Address - Fax:617-499-5103
Practice Address - Street 1:330 MOUNT AUBURN ST
Practice Address - Street 2:NEWBORN SERVICES
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5502
Practice Address - Country:US
Practice Address - Phone:617-499-5595
Practice Address - Fax:617-499-5103
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA779842080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2090457Medicaid
MAI21270Medicare UPIN
MAA37900Medicare ID - Type Unspecified