Azhar Chaudhry, MD PLLC
Organization Active NPI Internal Medicine Physician · Casselberry, FL
NPI 1265739015 · NPPES record last updated Feb 14, 2011
Key facts
- NPI
- 1265739015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- AZHAR CHAUDHRY, MD PLLC
- Practice address
- 178 Wilshire Blvd
Casselberry, FL 32707-5352 - Phone
- (407) 331-4115
- NPI assigned
- Feb 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Azhar Chaudhry, MD
- Title
- Owner
- Phone
- (407) 331-4115
Practitioners 5
-
Azhar Chaudhry, MD
-
Jean Barthelemy Sr., ARNP
-
Teneil Henry, FNP BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110628000371 | FL | Part B Supplier - Clinic/Group Practice | 3779761432 |
Receives reassigned benefits from 5 practitioners Practice locations: Orlando, FL |
National Provider Directory
Locations
610 Jasmine Rd
Altamonte Springs, FL 32701
Phone (407) 385-1332
478 E Altamonte Dr
Ste 108410
Altamonte Springs, FL 32701
915 Lucerne Ter
Orlando, FL 32806
Phone (407) 843-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
178 Wilshire Blvd
Casselberry, FL 32707-5352
Mailing address
178 Wilshire Blvd
Casselberry, FL 32707-5352
Phone (407) 331-4115
Other providers in Casselberry, FL
- Atc Senior Care, LLC
- Sarah Alice Atherton
- Claudine Auguste
- Olivia Augustino
- Robert Paul Azario Jr.
- Peter Bae
- Kavita Bahl
- Akila Balasubramanian
- Balls Rexall Drugs Inc
- Jessica S Barlow
All providers in Casselberry, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.