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Saquib Nisar Chaudhri

Internal Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd Dept Of, Falls Church, VA 22042

PECOS Enrollment

This provider is enrolled in PECOS as SAQUIB CHAUDHRI.

Based on the most recent information from CMS, provider Saquib Nisar Chaudhri is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:15 AM.

Profile Details

Provider ID
1083977664
Provider Type
Individual
Full Name
Chaudhri, Saquib Nisar
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/19/2012
Last Updated
8/21/2019

Contact Information

Practice Location

3300 Gallows Rd Dept Of, Falls Church, VA 22042

(703) 776-3582

Unlisted Fax

Mailing Location

3300 Gallows Rd Dept Of, Falls Church, VA 22042-3307

(703) 776-3582

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101260692 Virginia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME124049 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License P27685 Maryland
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 0101260692 Virginia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Saquib Nisar Chaudhri

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

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License

Code

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