Provider Demographics
NPI:1568111037
Name:CHAUDHRY, SAMEERA IQBAL (MD)
Entity Type:Individual
Prefix:
First Name:SAMEERA
Middle Name:IQBAL
Last Name:CHAUDHRY
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 1:100 PRINCETON OVAL
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5336
Mailing Address - Country:US
Mailing Address - Phone:732-610-9870
Mailing Address - Fax:
Practice Address - Street 1:100 PRINCETON OVAL
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5336
Practice Address - Country:US
Practice Address - Phone:732-610-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program