| Azhar Chaudhry, Md Pllc | |
|
178 Wilshire Blvd Casselberry FL 32707-5352 | |
| (407) 331-4115 | |
| Not Available |
| Full Name | Azhar Chaudhry, Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 178 Wilshire Blvd, Casselberry, Florida |
| Authorized Official Name and Position | Azhar Chaudhry (OWNER) |
| Authorized Official Contact | 4073314115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azhar Chaudhry, Md Pllc 178 Wilshire Blvd Casselberry FL 32707-5352 Ph: (407) 331-4115 | Azhar Chaudhry, Md Pllc 178 Wilshire Blvd Casselberry FL 32707-5352 Ph: (407) 331-4115 |
| NPI Number | 1265739015 |
|---|---|
| Provider Enumeration Date | 02/14/2011 |
| Last Update Date | 02/14/2011 |
| Medicare PECOS PAC ID | 3779761432 |
|---|---|
| Medicare Enrollment ID | O20110628000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265739015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Azhar I Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669491726 PECOS PAC ID: 0345237939 Enrollment ID: I20040428000292 |
| Provider Name | Jean G Barthelemy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295146504 PECOS PAC ID: 6608093810 Enrollment ID: I20140812002341 |
| Provider Name | Xiaolei Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457729428 PECOS PAC ID: 3577873157 Enrollment ID: I20151111000798 |
| Provider Name | Timothy Terrell Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992459457 PECOS PAC ID: 2466848486 Enrollment ID: I20220331000037 |
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