Provider Demographics
NPI:1841326329
Name:CHOWDHREY, MEHAR N (MD)
Entity type:Individual
Prefix:MRS
First Name:MEHAR
Middle Name:N
Last Name:CHOWDHREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:201 SOUTH LIVINGSTON AVE
Mailing Address - Street 2:1B
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4040
Mailing Address - Country:US
Mailing Address - Phone:973-533-9370
Mailing Address - Fax:973-533-9371
Practice Address - Street 1:201 SOUTH LIVINGSTON AVE
Practice Address - Street 2:1B
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4040
Practice Address - Country:US
Practice Address - Phone:973-533-9370
Practice Address - Fax:973-533-9371
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03732700208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5175801Medicaid
NJ5175801Medicaid
F01586Medicare UPIN