Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME 90758 | FL |
NPI | 1043311707 |
---|---|
Provider Name | Sajid Chaudhary |
First Address | Kissimmee, FL 34741-2320 |
Second Address | Kissimmee, FL 34741-2358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 01/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2716381 00 | (05) | FL |
G52121 | (02) | FL |
U3407Z | PTAN (01) | FL |