Provider Demographics
NPI:1649028374
Name:CHAUDHRY, KATHERINE MEDINA
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MEDINA
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 PALMDALE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4042
Mailing Address - Country:US
Mailing Address - Phone:716-343-0259
Mailing Address - Fax:
Practice Address - Street 1:267 PALMDALE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-4042
Practice Address - Country:US
Practice Address - Phone:716-343-0259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)