Basic Information
Provider Information
NPI: 1609001262
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUDHRY
FirstName: MUHAMMAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DEPT 3038 POB 4417
Address2:  
City: HOUSTON
State: TX
PostalCode: 772104417
CountryCode: US
TelephoneNumber: 6106448900
FaxNumber: 4849240053
Practice Location
Address1: 10238 E HAMPTON AVE STE 501
Address2:  
City: MESA
State: AZ
PostalCode: 852093321
CountryCode: US
TelephoneNumber: 4808891573
FaxNumber: 4808891574
Other Information
ProviderEnumerationDate: 05/26/2009
LastUpdateDate: 08/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X27045AZY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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