Provider Demographics
NPI:1407820467
Name:CHOUDRY, SHAZIA HAFIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAZIA
Middle Name:HAFIZ
Last Name:CHOUDRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-267-7164
Practice Address - Fax:717-267-7414
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425144207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101152654 0002Medicaid
PA2183091OtherMAMSI
PA25-1716306OtherMULTIPLAN/PHCS
PAMD425144OtherLICENSE
PA1569263OtherGATEWAY
PA25-1716306OtherHEALTHNET/TRICARE
NV02602459Medicaid
PA50074330OtherCAPITAL BLUECROSS
PA1779007OtherAETNA HMO
PA25-1716306OtherFIRST HEALTH
PA914765-01/85XWCUOtherCAREFIRST
PACH1612173OtherHIGHMARK BLUE SHIELD
PAP00458414OtherRAILROAD MEDICARE
PA050514OtherMEDICARE GROUP #
PA120420418OtherDEPT OF LABOR
PA228827OtherUNISON
PA25-1716306OtherINTERGROUP
PA25-1716306OtherINFORMED
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherDEVON
PA7008474OtherAETNA NON-HMO
PAPEARLOtherHEALTH AMERICA
PAPEARLOtherHEALTH AMERICA
PA50074330OtherCAPITAL BLUECROSS
PACH1612173OtherHIGHMARK BLUE SHIELD