Provider Demographics
NPI:1538194063
Name:CHAUDHRY, JAHANZEB (DDS)
Entity type:Individual
Prefix:DR
First Name:JAHANZEB
Middle Name:
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 340795
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43234-0795
Mailing Address - Country:US
Mailing Address - Phone:614-754-0308
Mailing Address - Fax:
Practice Address - Street 1:175 S 3RD ST
Practice Address - Street 2:STE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5134
Practice Address - Country:US
Practice Address - Phone:614-688-8095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2015-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0548381223X0008X
OH30.0244301223X0008X
OH71.000225122300000X, 1223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology
No122300000XDental ProvidersDentist