Provider Demographics
NPI:1700312766
Name:CHAUDHRY, SOBIA SALEEM (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SOBIA
Middle Name:SALEEM
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6724 GRAND OAKS CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2700
Mailing Address - Country:US
Mailing Address - Phone:513-608-5562
Mailing Address - Fax:
Practice Address - Street 1:30575 BAINBRIDGE RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2221
Practice Address - Country:US
Practice Address - Phone:800-807-6555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPR.CNP.021952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily