Provider Demographics
NPI:1184798969
Name:CHAUDHRY, ANAND KUMAR (DC)
Entity type:Individual
Prefix:DR
First Name:ANAND
Middle Name:KUMAR
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2905 STENDER WAY
Mailing Address - Street 2:#22
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-3224
Mailing Address - Country:US
Mailing Address - Phone:408-748-1000
Mailing Address - Fax:408-748-1700
Practice Address - Street 1:2905 STENDER WAY
Practice Address - Street 2:#22
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-3224
Practice Address - Country:US
Practice Address - Phone:408-748-1000
Practice Address - Fax:408-748-1700
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U68659Medicare UPIN