Provider Demographics
NPI:1942328778
Name:CHAUDHRY, RIZWAN M (MD)
Entity Type:Individual
Prefix:
First Name:RIZWAN
Middle Name:M
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6300 WEST LOOP S STE 495
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2900
Mailing Address - Country:US
Mailing Address - Phone:713-263-3900
Mailing Address - Fax:855-583-1961
Practice Address - Street 1:6300 WEST LOOP S STE 495
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2900
Practice Address - Country:US
Practice Address - Phone:713-263-3900
Practice Address - Fax:855-583-1961
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5777208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN020002697Medicare PIN