Provider Demographics
NPI:1912977281
Name:CHAUDHRY, AFTAB A (MD)
Entity Type:Individual
Prefix:DR
First Name:AFTAB
Middle Name:A
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AFTAB
Other - Middle Name:A
Other - Last Name:CHAUDHRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4101 TECHNOLOGY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-8548
Mailing Address - Country:US
Mailing Address - Phone:812-671-2233
Mailing Address - Fax:812-590-3985
Practice Address - Street 1:4101 TECHNOLOGY AVE
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-8548
Practice Address - Country:US
Practice Address - Phone:812-671-2233
Practice Address - Fax:812-590-3985
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY17860207RH0003X
IN01028083A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100075030AMedicaid
IN100075030BMedicaid
IN100075030DMedicaid
IN100075030FMedicaid
IN100075030FMedicaid
C24479Medicare UPIN
IN196240AMedicare PIN
IN100075030DMedicaid
IN100075030AMedicaid