Provider Demographics
NPI:1568536688
Name:GHUMMAN, CHAUDHRY MS (MD)
Entity Type:Individual
Prefix:
First Name:CHAUDHRY
Middle Name:MS
Last Name:GHUMMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:237 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1006
Mailing Address - Country:US
Mailing Address - Phone:516-639-6800
Mailing Address - Fax:718-465-1199
Practice Address - Street 1:21838 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1916
Practice Address - Country:US
Practice Address - Phone:718-465-7746
Practice Address - Fax:718-465-1199
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2014-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY189683207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease