Individual
AYESHA FAWAD CHAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
105 S BRYANT AVE STE NO108, EDMOND, OK 73034-6399
(405) 471-6511
Mailing address
105 S BRYANT AVE STE NO108, EDMOND, OK 73034-6399
(405) 471-6511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28932
NE
207Q00000X
Family Medicine Physician
Primary
35222
OK
207Q00000X
Family Medicine Physician
6724
NE
Other
Enumeration date
10/18/2012
Last updated
10/29/2021
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