Provider Demographics
NPI:1154301901
Name:CHAUDHRY, RASHID SULTAN (MD)
Entity Type:Individual
Prefix:
First Name:RASHID
Middle Name:SULTAN
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-5898
Mailing Address - Country:US
Mailing Address - Phone:319-268-9700
Mailing Address - Fax:319-268-1934
Practice Address - Street 1:2802 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-5898
Practice Address - Country:US
Practice Address - Phone:319-268-9700
Practice Address - Fax:319-268-1934
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4178592084P0800X, 2084P0804X
IAMD-470892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01877579Medicaid
054130NKAMedicare ID - Type Unspecified
PA01877579Medicaid