Basic Information
| Provider Information | |||||||||
| NPI: | 1255371043 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAUDHARY | ||||||||
| FirstName: | ARUN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 151 OSGOOD ST | ||||||||
| Address2: | |||||||||
| City: | ANDOVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018105406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179454906 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1575 CAMBRIDGE ST | ||||||||
| Address2: | |||||||||
| City: | CAMBRIDGE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021384308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178764344 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 01/26/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 224431 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 12417 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 11365 | HI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 12417 | NH | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 01Y009920NH03 | 01 | NH | ANTHEM BCBS NH | OTHER | 2161141 | 05 | MA | MEDICAID | 5166278 | 01 | NH | CIGNA | OTHER | AA112185 | 01 | NH | HARVARD | OTHER | 30204849 | 05 | NH | MEDICAID | P00673100 | 01 | NH | RAILROAD MEDICARE | OTHER |