Provider Demographics
NPI:1790947430
Name:CHAUDHARY, SOFIA SHAHEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:SHAHEEN
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3401 CIVIC CENTER BOULEVARD
Mailing Address - Street 2:DIVISION PEDIATRIC EMERGENCY MEDICINE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-3948
Mailing Address - Fax:
Practice Address - Street 1:49 JESSE HILL JR DR SE
Practice Address - Street 2:EMORY UNIVERSITY, DEPARTMENT OF PEDIATRICS
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3049
Practice Address - Country:US
Practice Address - Phone:404-778-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2017-06-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT213214207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine