Individual
HIRA B CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DD
Contact information
Practice address
7411 HOPE DR STE C, FORT WAYNE, IN 46815-5687
(260) 234-5400
Mailing address
7411 HOPE DR STE C, FORT WAYNE, IN 46815-5687
(260) 234-5400
(260) 234-5395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02006600A
IN
207R00000X
Internal Medicine Physician
70570
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
02006600A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972958528
—
WI
Enumeration date
05/02/2016
Last updated
09/10/2024
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