Provider Demographics
NPI:1942268214
Name:CHAUDRY, NASEER A (MD)
Entity Type:Individual
Prefix:
First Name:NASEER
Middle Name:A
Last Name:CHAUDRY
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:# L-3549
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-0001
Mailing Address - Country:US
Mailing Address - Phone:740-383-7927
Mailing Address - Fax:740-383-7942
Practice Address - Street 1:1035 HARDING MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6315
Practice Address - Country:US
Practice Address - Phone:740-387-9577
Practice Address - Fax:740-382-4269
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046267C207R00000X, 207RN0300X
OH35.046267207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000118380OtherANTHEM
637496OtherAETNA
OH0464322Medicaid
110103634OtherTRAVELERS MEDICARE
311098079OtherTAX ID #
311098079067OtherCIGNA
0402001OtherUHC
0495822OtherPALMETTO MEDICARE
311098079OtherTAX ID
353077OtherSUBMITTER NO
311098079OtherTAX ID E
311098079OtherTAX ID #
A80015Medicare UPIN