Provider Demographics
NPI:1366659351
Name:CHAUDHRY, ASMAA (MD)
Entity type:Individual
Prefix:
First Name:ASMAA
Middle Name:
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:224D CORNWALL ST NW STE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-737-6001
Mailing Address - Fax:
Practice Address - Street 1:24560 SOUTHPOINT DRIVE, SUITE 230
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-3505
Practice Address - Country:US
Practice Address - Phone:703-957-0416
Practice Address - Fax:703-723-9752
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101242155207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1366659351Medicaid
VA30016272010001Medicaid