Provider Demographics
NPI:1457391443
Name:CHAUDHRY, MUHAMMAD RAFIQ (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:RAFIQ
Last Name:CHAUDHRY
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 1:2249 SECOND AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-1538
Mailing Address - Country:US
Mailing Address - Phone:212-996-0006
Mailing Address - Fax:212-996-5562
Practice Address - Street 1:2249 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2266
Practice Address - Country:US
Practice Address - Phone:212-996-0006
Practice Address - Fax:212-996-5562
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164981207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00930149Medicaid
NY59D771Medicare ID - Type Unspecified
NYA63416Medicare UPIN