Provider Demographics
NPI:1619097805
Name:CHAUDHURY, ARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:CHAUDHURY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 WASHINGTON ST
Mailing Address - Street 2:APT#3, RIDGECREST TERRACE
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-5248
Mailing Address - Country:US
Mailing Address - Phone:617-390-5526
Mailing Address - Fax:
Practice Address - Street 1:WEST ROXBURY VA MEDICAL CENTER
Practice Address - Street 2:1400 VFW PARKWAY, ROOM 2B101
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132
Practice Address - Country:US
Practice Address - Phone:617-323-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory