Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A113311 | CA |
N | 208600000X | Surgeon | A113311 | CA |
N | 2086S0102X | Surgical Critical Care | A113311 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | A113311 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | TP136 | KY |
NPI | 1144304635 |
---|---|
Provider Name | Dr. Ahmad Zafar Chaudhry |
First Address | London, KY 40743 |
Second Address | Lexington, KY 40504-3751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 11/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0A1133110 | (05) | CA |