Provider Demographics
NPI:1295709061
Name:CHAUDHRY, ANU (MD)
Entity type:Individual
Prefix:
First Name:ANU
Middle Name:
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 ST. GEORGES AVE RTE 27
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065
Mailing Address - Country:US
Mailing Address - Phone:732-381-3642
Mailing Address - Fax:732-396-4463
Practice Address - Street 1:546 ST. GEORGES AVE RTE 27
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065
Practice Address - Country:US
Practice Address - Phone:732-381-3642
Practice Address - Fax:732-396-4463
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07682100207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ08300WULOtherMEDICARE
NJ0054313Medicaid
NJ0054313Medicaid
NJ08300WULOtherMEDICARE
NJI16417Medicare UPIN
NJ1053441840Medicare PIN