Provider Demographics
NPI:1356382360
Name:CHAUDHARY, CHHAYA SHRIKANT (MD)
Entity type:Individual
Prefix:DR
First Name:CHHAYA
Middle Name:SHRIKANT
Last Name:CHAUDHARY
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 1:408 W RIDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1223
Mailing Address - Country:US
Mailing Address - Phone:610-825-1994
Mailing Address - Fax:610-825-2949
Practice Address - Street 1:408 W RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1223
Practice Address - Country:US
Practice Address - Phone:610-825-1994
Practice Address - Fax:610-825-2949
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037050E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE61956Medicare UPIN