Provider Demographics
NPI:1932119971
Name:CHAUDHRI, TAHIR (MD)
Entity Type:Individual
Prefix:DR
First Name:TAHIR
Middle Name:
Last Name:CHAUDHRI
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 1:3427 S HIGHLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-5408
Mailing Address - Country:US
Mailing Address - Phone:863-314-9308
Mailing Address - Fax:863-314-0601
Practice Address - Street 1:3427 S HIGHLANDS AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5408
Practice Address - Country:US
Practice Address - Phone:863-314-9308
Practice Address - Fax:863-314-0601
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90075207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00446263OtherRR MEDICARE
FL93261OtherBCBS
FL279140400Medicaid
FLP00446263OtherRR MEDICARE
FL93261OtherBCBS