Provider Demographics
NPI:1710277751
Name:CHUDHRI, SHARIQ IQBAL (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARIQ
Middle Name:IQBAL
Last Name:CHUDHRI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5450 CLEARFORK MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-3562
Mailing Address - Country:US
Mailing Address - Phone:817-336-7191
Mailing Address - Fax:817-877-4015
Practice Address - Street 1:5450 CLEARFORK MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-3562
Practice Address - Country:US
Practice Address - Phone:817-336-7191
Practice Address - Fax:817-877-4015
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS0861207R00000X, 207RR0500X
AZ006359207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine