Provider Demographics
NPI:1730766825
Name:CHAUDRY, ABDUL MATEEN (MD)
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:MATEEN
Last Name:CHAUDRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-808-7399
Mailing Address - Fax:570-808-5942
Practice Address - Street 1:1108 ROSS CLARK CIR STE 210
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3022
Practice Address - Country:US
Practice Address - Phone:334-712-3329
Practice Address - Fax:334-305-0219
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD485686208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist