Provider Demographics
NPI:1922028208
Name:GREATER ORLANDO HOSPITALISTS
Entity Type:Organization
Organization Name:GREATER ORLANDO HOSPITALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AZHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-545-6232
Mailing Address - Street 1:478 E ALTAMONTE DR # 108 # 410
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4628
Mailing Address - Country:US
Mailing Address - Phone:407-545-6232
Mailing Address - Fax:407-767-0750
Practice Address - Street 1:740 FLORIDA CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-7651
Practice Address - Country:US
Practice Address - Phone:407-767-0727
Practice Address - Fax:407-767-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82888207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDB8326OtherRAILROAD MEDICARE
FL269296100Medicaid
FL74520OtherBLUE CROSS BLUE SHIELD
FL74520OtherMEDICARE
FLDB8326OtherRAILROAD MEDICARE