Provider Demographics
NPI:1649317751
Name:CHAUDHRY, HAIDER S (MD)
Entity type:Individual
Prefix:DR
First Name:HAIDER
Middle Name:S
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 VAN VOORHIS RD
Mailing Address - Street 2:APT E 1
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3425
Mailing Address - Country:US
Mailing Address - Phone:304-685-3907
Mailing Address - Fax:
Practice Address - Street 1:1230 VAN VOORHIS RD
Practice Address - Street 2:APT E 1
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3425
Practice Address - Country:US
Practice Address - Phone:304-685-3907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427813207R00000X
MT1314222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine