Khalid Mahmood Chaudhry, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35067827 Issued in OH

Practice address

1556 Gleneagles Dr
Bowling Green, OH 43402-5225

Phone

(419) 494-9325

NPI assigned

Aug 23, 2005

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1114910361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 GLENEAGLES DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434025225",
            "telephone_number": "419-494-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 GLENEAGLES DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434025225",
            "telephone_number": "419-494-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "KHALID",
        "middle_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35067827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155960",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khalid.mahmood.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "960 W Wooster Street",
            "address_2": "Suite 202",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Lynne Cerelli
• Christtina S Chamberlin
• Steven W. Chapman, M. ED. LPC, LICDC
• Chase Counseling LLC
• Deanna L Chase, PCCS, LICDC, CRC
• Jeremy Michael Cherry, LPCC-S, LMFT
• Karli Jane Christ
• Cristina Noel Christensen, LISW
• Eric Allen Christensen, RN
• City of Bowling Green (Bowling Green Fire Division)

• Neurology Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.