Look up the most recent NPI and PECOS records

Debi P Chaudhuri

Surgery

Allopathic & Osteopathic Physicians

1617 Owen Dr, Fayetteville, NC 28304-3425

PECOS Enrollment

Based on the most recent information from CMS, provider Debi P Chaudhuri does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 12 days ago.

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

Owen Drive Surgical Clinic Of Fayetteville Pllc

Lewis, Kenneth Bryant

Nelson, Marsha Criscio

Bryant, Michael Steven

Horowitz, Joel I

Cape Fear Valley Health Medical Group Llc

Hoerdeman, Blake Allen

Albrecht, Robert Joseph

Classen, James Anthony

Schultz, Susan