Ahtshamullah Chaudhry, MD
Internal Medicine in Jackson, Mississippi
1235650300- Practice location
- 969 Lakeland Dr, Jackson, MS 39216-4606
- Phone
- 601-200-4644
- Fax
- 601-200-4645
- Last updated
- July 21, 2022
Ahtshamullah Chaudhry is an Internal Medicine based in Jackson, MS. Ahtshamullah Chaudhry practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Ahtshamullah Chaudhry is 1235650300 and holds a License No. 27837 (MS). The current practice location address for Ahtshamullah Chaudhry is 969 Lakeland Dr, Jackson, MS 39216-4606 and can be reached out via phone at 601-200-4644 and via fax at 601-200-4645.
Provider Profile Details
- NPI Number
- 1235650300
- Provider Name
- Ahtshamullah Chaudhry
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 969 Lakeland Dr, Jackson, MS 39216-4606
- Phone Number
- 601-200-4644
- Fax Number
- 601-200-4645
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 29, 2017
- Last Update Date
- July 21, 2022
- Certification Date
- July 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 969 Lakeland Dr
Jackson, MS 39216-4606 - City
- Jackson
- State
- Mississippi
- Zip
- 39216-4606
- Phone Number
- 601-200-4644
- Fax Number
- 601-200-4645
Provider Business Mailing Address Details
- Address
- Po Box 22727
Jackson, MS 39225-2727 - City
- Jackson
- State
- MS
- Zip
- 39225-2727
- Phone Number
- 601-200-4644
- Fax Number
- 601-200-4645
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 27837
- License State (2)
- MS
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ahtshamullah Chaudhry, MD?
The NPI number of Ahtshamullah Chaudhry, MD is 1235650300. It was assigned on June 29, 2017 and is currently active in the NPPES registry.
What is the specialty of Ahtshamullah Chaudhry, MD?
Ahtshamullah Chaudhry, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MS under license number 27837.
Where does Ahtshamullah Chaudhry, MD practice?
The practice location is 969 Lakeland Dr, Jackson, MS 39216-4606. The office can be reached at 601-200-4644 (phone) or 601-200-4645 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235650300 directly on the NPPES registry website.