Provider Demographics
NPI:1871667774
Name:CHAUDHARY, ASEEM (MD)
Entity Type:Individual
Prefix:
First Name:ASEEM
Middle Name:
Last Name:CHAUDHARY
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 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:STE 502
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3668
Mailing Address - Country:US
Mailing Address - Phone:703-527-1303
Mailing Address - Fax:703-527-5221
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:STE 502
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3668
Practice Address - Country:US
Practice Address - Phone:703-527-1303
Practice Address - Fax:703-527-5221
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA215353OtherANTHEM
VA541979415OtherGEHA
VA005846536Medicaid
VA541979415OtherAETNA
VA541979415OtherCIGNA
VA541979415OtherANTHEM HEALTHKEEPERS
VA67380001OtherBLUE CROSS BLUE SHIELD
VACH8548OtherMEDICARE RAILROAD
VA67380001OtherBLUE CROSS BLUE SHIELD
VA215353OtherANTHEM