Provider Demographics
NPI:1861027328
Name:FARID-CHAUDHRY, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FARID-CHAUDHRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BREAKWATER LN
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-3299
Mailing Address - Country:US
Mailing Address - Phone:860-634-1511
Mailing Address - Fax:
Practice Address - Street 1:8 BREAKWATER LN
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-3299
Practice Address - Country:US
Practice Address - Phone:860-634-1511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist