Dewat R Chaudhry, M.D

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

036-050484 Issued in IL

Practice address

616 35TH Ave
Suite 3
Moline, IL 61265-6158

Phone

(309) 764-2994

Fax

(309) 764-2996

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Medical Arts Associates, LTD.

  • Internal Medicine Physician
  • Moline, IL
  • NPI 1396724183
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1982604377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656158",
            "telephone_number": "309-764-2994",
            "fax_number": "309-764-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 35TH AVE",
            "address_2": "SUITE 3",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656158",
            "telephone_number": "309-764-2994",
            "fax_number": "309-764-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "DEWAT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036-050484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Catton, CRT
• Centerwell Certified Healthcare Corp.
• Emily Cetanyan, LSW
• Kevin Chanez, PHARMD
• Prasan Chariya, M.D.
• Hogeun CHI
• James P Chiang, JAMES CHIANG D.D.S.
• Nicole M Chickris-Bollaert, MD
• Child & Family Psychology Center PC
• Poonputt Chotiprasidhi, M.D.

• All providers in Moline, IL
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.