Provider Demographics
NPI:1568517407
Name:CHAUDHRY, ANU (MD)
Entity Type:Individual
Prefix:DR
First Name:ANU
Middle Name:
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 1:101 WILLIAM H JOHNSON ST
Mailing Address - Street 2:STE 360
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2769
Mailing Address - Country:US
Mailing Address - Phone:843-678-9994
Mailing Address - Fax:843-679-5515
Practice Address - Street 1:101 WILLIAM H JOHNSON ST
Practice Address - Street 2:STE 360
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2769
Practice Address - Country:US
Practice Address - Phone:843-678-9994
Practice Address - Fax:843-679-5515
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18751207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3434Medicaid
SC1124201876OtherBCBS
SC1124201876OtherBCBS
SCGP3434Medicaid