Individual
DR. JAMIL CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4155
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10418
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007059459
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
—
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
15-31228
UNITED BEHAVIORAL HEALTH
RI
01
—
30422-1
BLUE CROSS
RI
01
—
408013
BLUE CHIP
RI
05
—
7008555
—
RI
Enumeration date
06/24/2006
Last updated
03/27/2009
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