Provider Demographics
NPI:1538361506
Name:CHAUDRY, MOHAMMED M (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:M
Last Name:CHAUDRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-0756
Mailing Address - Country:US
Mailing Address - Phone:443-267-4955
Mailing Address - Fax:410-847-2316
Practice Address - Street 1:34 N PHILADELPHIA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2511
Practice Address - Country:US
Practice Address - Phone:443-267-4955
Practice Address - Fax:410-847-2316
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003326183500000X
PARP438344183500000X
MD16832183500000X
DEC7-0003801208600000X
DEC1-00114112086S0129X
OK379362086S0129X
MDD774582086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No183500000XPharmacy Service ProvidersPharmacist
No208600000XAllopathic & Osteopathic PhysiciansSurgery