Individual
SIRMAD BASHIR CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59116
KY
207R00000X
Internal Medicine Physician
63110
TN
207RI0008X
Hepatology Physician
Primary
59116
KY
207RI0008X
Hepatology Physician
63110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300089963
—
IN
05
—
7100607140
—
KY
Enumeration date
03/31/2018
Last updated
02/04/2025
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