Provider Demographics
NPI:1992530455
Name:CHAUGHTAI MEDICAL PC
Entity type:Organization
Organization Name:CHAUGHTAI MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUGHTAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-871-7257
Mailing Address - Street 1:104 WAYPOINT DR
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2184
Mailing Address - Country:US
Mailing Address - Phone:718-676-2715
Mailing Address - Fax:718-676-2716
Practice Address - Street 1:493 MARCY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-7404
Practice Address - Country:US
Practice Address - Phone:718-676-2715
Practice Address - Fax:718-676-2716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty