Provider Demographics
NPI:1356435002
Name:CHAUDRY, ABDUL G (MD)
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:G
Last Name:CHAUDRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 MARLBORO PIKE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747
Mailing Address - Country:US
Mailing Address - Phone:301-735-3800
Mailing Address - Fax:301-736-1482
Practice Address - Street 1:6400 MARLBORO PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747
Practice Address - Country:US
Practice Address - Phone:301-735-3800
Practice Address - Fax:301-736-1482
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0026819207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD795761100Medicaid
C62435Medicare UPIN