Provider Demographics
NPI:1740423805
Name:CHUDASAMA, NEELESH LALJI (MD)
Entity Type:Individual
Prefix:DR
First Name:NEELESH
Middle Name:LALJI
Last Name:CHUDASAMA
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 1:845 UNITED NATIONS PLZ
Mailing Address - Street 2:#56A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3540
Mailing Address - Country:US
Mailing Address - Phone:617-835-6751
Mailing Address - Fax:908-769-4788
Practice Address - Street 1:2 OHIO DR
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1111
Practice Address - Country:US
Practice Address - Phone:516-622-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-19
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10005400207R00000X, 207RC0000X
NY262300207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine