Provider Demographics
NPI:1780115436
Name:CHAUDHARY, MOHAMMAD BILAL (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:BILAL
Last Name:CHAUDHARY
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 1:701-01 BROADWAY, A1-16
Mailing Address - Street 2:MOUNT SINAI SERVICES ELMHURST HOSPITAL CENTER
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-334-4000
Mailing Address - Fax:718-334-5845
Practice Address - Street 1:701-01 BROADWAY, A1-16
Practice Address - Street 2:MOUNT SINAI SERVICES ELMHURST HOSPITAL CENTER
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-4000
Practice Address - Fax:718-334-5845
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OK37107207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program