Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2010-00744 | NC |
NPI | 1043460991 |
---|---|
Provider Name | Nusrat A Chaudhary |
First Address | Charlotte, NC 28260-0447 |
Second Address | Matthews, NC 28105-4658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2008 |
Last Update Date | 12/08/2021 |