Individual
DR. FAISAL W CHAUDHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5705 REDBUD HWY, HONAKER, VA 24260
(276) 873-6300
Mailing address
PO BOX 1020, HONAKER, VA 24260-1020
(276) 873-6300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051181
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007610718
—
VA
01
—
110147847
RAILROAD MEDICARE
VA
01
—
1522856
UMWA
VA
01
—
200351
BLACK LUNG
VA
01
—
282424
ANTHEM BLUE CROSS
VA
01
—
5188559
AETNA
VA
05
—
5800811
—
VA
Enumeration date
08/26/2005
Last updated
05/01/2008
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