Provider Demographics
NPI:1790389278
Name:F & A CHAUDRY ENTERPRISES INC
Entity Type:Organization
Organization Name:F & A CHAUDRY ENTERPRISES INC
Other - Org Name:DR FAWAD CHAUDRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAWAD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-789-6359
Mailing Address - Street 1:15857 FAIRVIEW FARM BLVD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1336
Mailing Address - Country:US
Mailing Address - Phone:405-367-6180
Mailing Address - Fax:
Practice Address - Street 1:15857 FAIRVIEW FARM BLVD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1336
Practice Address - Country:US
Practice Address - Phone:405-367-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty