Basic Information
Provider Information
NPI: 1336581305
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUDHARY
FirstName: RAHUL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD, MBA
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 3600 FORBES AVE STE 140
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152133410
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: S-553 SCAIFE HALL
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 4126473429
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/19/2013
LastUpdateDate: 06/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XMD473578PAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000XMT222483PAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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