Provider Demographics
NPI:1679774152
Name:CHAUDHRY, ASIF M (MD)
Entity Type:Individual
Prefix:
First Name:ASIF
Middle Name:M
Last Name:CHAUDHRY
Suffix:
Gender:M
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 1:2100 WEST LOOP S STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3544
Mailing Address - Country:US
Mailing Address - Phone:832-436-4040
Mailing Address - Fax:832-436-4050
Practice Address - Street 1:2100 WEST LOOP S STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3544
Practice Address - Country:US
Practice Address - Phone:832-436-4040
Practice Address - Fax:832-436-4050
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2282207LP2900X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX281891601Medicaid
TX281891601Medicaid
TX1679774152Medicare PIN