Ramiz A Chaudhry, D.D.S
Individual provider Active NPI Periodontics · Selden, NY
NPI 1497060115 · NPPES record last updated Aug 18, 2010
Key facts
- NPI
- 1497060115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 055154 (NY)
- Practice address
- 21 Park Hill Dr
Selden, NY 11784-2607 - Phone
- (631) 627-9605
- NPI assigned
- Aug 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055154 | NY | MD | Periodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 055154 | NY | Yes |
Addresses
Primary practice location
21 Park Hill Dr
Selden, NY 11784-2607
Mailing address
21 Park Hill Drive
Selden, NY 11784
Phone (631) 627-9605
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.