Individual
DR. SANJAY CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5566
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
53296
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME145373
FL
207RN0300X
Nephrology Physician
104914
MN
207RN0300X
Nephrology Physician
53296
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031-0000971
MEDICA
MN
05
—
1649479742
—
MI
05
—
1649479742
—
WI
05
—
ENROLLED
—
MN
01
—
P01053635
MEDICARE - RAIL ROAD
MN
Enumeration date
07/17/2007
Last updated
10/02/2020
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