Basic Information
Provider Information
NPI: 1801150339
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUDHARY
FirstName: ARBIND
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 50 PRESIDENTIAL PLZ APT 1709
Address2:  
City: SYRACUSE
State: NY
PostalCode: 132022389
CountryCode: US
TelephoneNumber: 8574983250
FaxNumber:  
Practice Location
Address1: 750 E ADAMS ST
Address2:  
City: SYRACUSE
State: NY
PostalCode: 132101834
CountryCode: US
TelephoneNumber: 3154645540
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2012
LastUpdateDate: 09/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X10772SDY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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