Provider Demographics
NPI:1205870193
Name:CHAUDHARY, TESNEEM KAUSER (MD)
Entity type:Individual
Prefix:MRS
First Name:TESNEEM
Middle Name:KAUSER
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 WHEELER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:706-868-8555
Mailing Address - Fax:706-868-8022
Practice Address - Street 1:3685 WHEELER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909
Practice Address - Country:US
Practice Address - Phone:706-868-8555
Practice Address - Fax:706-868-8022
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA21308207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy