Basic Information
Provider Information
NPI: 1043621113
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUDRY
FirstName: HANNAH
MiddleName: I
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ONE MEDICAL CENTER DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037560001
CountryCode: US
TelephoneNumber: 6036505724
FaxNumber:  
Practice Location
Address1: ONE MEDICAL CENTER DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037560001
CountryCode: US
TelephoneNumber: 6036505724
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/12/2014
LastUpdateDate: 09/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RI0011X21857NHY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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