Provider Demographics
NPI:1144029489
Name:CHUDGAR, ANJALI (DO)
Entity type:Individual
Prefix:
First Name:ANJALI
Middle Name:
Last Name:CHUDGAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANJALI
Other - Middle Name:N
Other - Last Name:CHUDGAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:4408 BON AIRE DR # 412
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-3111
Mailing Address - Country:US
Mailing Address - Phone:318-342-7100
Mailing Address - Fax:
Practice Address - Street 1:7812 WOODRUFF DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5065
Practice Address - Country:US
Practice Address - Phone:708-845-6476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program