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Debi P Chaudhuri

Surgery

Allopathic & Osteopathic Physicians

1617 Owen Dr, Fayetteville, NC 28304-3425

PECOS Enrollment

This provider is enrolled in PECOS as DEBI CHAUDHURI.

Based on the most recent information from CMS, provider Debi P Chaudhuri is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1356304562
Provider Type
Individual
Full Name
Chaudhuri, Debi P
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/10/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1617 Owen Dr, Fayetteville, NC 28304-3425

(910) 484-0101

(910) 484-2563

Mailing Location

1617 Owen Dr, Fayetteville, NC 28304-3425

(910) 484-0101

(910) 484-2563

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 20247 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 8922092	Description Medicaid	Issuer Unlisted North Carolina

Debi P Chaudhuri

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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