Individual
ABDUL W CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
814 KEMPSVILLE RD, SUITE 102 BLDG 17, NORFOLK, VA 23502-4001
(757) 623-0005
(757) 389-5412
Mailing address
4560 SOUTH BLVD, SUITE 202, VIRGINIA BEACH, VA 23452-1160
(757) 623-0005
(757) 548-1129
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101053259
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005814031
—
VA
01
—
243439
BCBS
VA
01
—
541371648
TAX ID
VA
Enumeration date
07/07/2005
Last updated
02/22/2019
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