Individual
DR. JOSEPH CHAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4155
Mailing address
1415 BRECON DR, JACKSON, MS 39211-5610
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
T2195
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05406731
—
MS
05
—
196130
—
AL
01
—
P01608922
RAILROAD MEDICARE
MS
Enumeration date
07/06/2009
Last updated
04/05/2017
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