Chaudhry, Imtiaz M
Chaudhry, Imtiaz M is an individual health care provider with primary practice located at 3046 Knights Rd , Bensalem PA 19020-2815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Chaudhry, Imtiaz M can be contacted via phone (215) 639-4500.Contact Information
Primary practice address
3046 Knights Rd
Bensalem PA 19020-2815
Phone: (215) 639-4500
Fax: (215) 604-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA08917700 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD438364 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | MD43834 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 25MA08917700 | New Jersey |
Profile Details
| NPI number | 1750550091 |
|---|---|
| LBN Legal business name | Chaudhry, Imtiaz M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Apr 21st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750550091 | NPPES |
| New Jersey | MEDICAID | 267783 | |
| New Jersey | MEDICAID | 102618832-0003 | |
| New Jersey | MEDICAID | 102618832-0002 |
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