Provider Demographics
NPI:1871083824
Name:CHAUDHRY-WATERMAN, NADIA (DO)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:CHAUDHRY-WATERMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:CHAUDHRY
Other - Last Name:WATERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 E 16TH AVE APT 409
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1694
Mailing Address - Country:US
Mailing Address - Phone:608-332-7288
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:777-720-2940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0068434390200000X
VA0102206628208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program