Provider Demographics
NPI:1669466751
Name:CHAUDHARY, MUHAMMAD ASHRAF (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ASHRAF
Last Name:CHAUDHARY
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 1:206 NE 19TH DR
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-1932
Mailing Address - Country:US
Mailing Address - Phone:863-763-1917
Mailing Address - Fax:863-467-1142
Practice Address - Street 1:206 NE 19TH DR
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1932
Practice Address - Country:US
Practice Address - Phone:863-763-1917
Practice Address - Fax:863-467-1142
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2009-12-15
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-04-12
Provider Licenses
StateLicense IDTaxonomies
FLME0034319207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL411013191OtherMEDICARE RAILROAD
FL038732100Medicaid
FLD62486Medicare UPIN
FL038732100Medicaid