Provider Demographics
NPI:1356507115
Name:CHAUDHRY, AJAZ L (MD)
Entity type:Individual
Prefix:DR
First Name:AJAZ
Middle Name:L
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:766 WALTHER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-8764
Mailing Address - Country:US
Mailing Address - Phone:770-237-3000
Mailing Address - Fax:770-237-5530
Practice Address - Street 1:766 WALTHER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8764
Practice Address - Country:US
Practice Address - Phone:770-237-3000
Practice Address - Fax:770-237-5530
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2014-07-18
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Provider Licenses
StateLicense IDTaxonomies
GA071187207Y00000X
IL125055528207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology