Individual
UZMA AHMAD CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1802 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(770) 573-9513
Mailing address
2100 MARKET ST STE 101, CHARLESTOWN, IN 47111-9535
(812) 288-2488
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301098073
MI
208D00000X
General Practice Physician
01075763A
IN
208D00000X
General Practice Physician
4301098073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01075763A
STATE LICENSE
IN
05
—
201381230
—
IN
01
—
IN3604028
MEDICARE PTAN
IN
Enumeration date
05/31/2008
Last updated
10/21/2020
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