Provider Demographics
NPI:1841925872
Name:CHAUDHRY, RAZA ELLAHI (GENETIC COUNSELOR)
Entity type:Individual
Prefix:
First Name:RAZA
Middle Name:ELLAHI
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:GENETIC COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HIGHLAND AVE
Mailing Address - Street 2:MAIL CODE 2464
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792
Mailing Address - Country:US
Mailing Address - Phone:608-504-4554
Mailing Address - Fax:608-662-4448
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:MAIL CODE 2464
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792
Practice Address - Country:US
Practice Address - Phone:608-504-4554
Practice Address - Fax:608-662-4448
Is Sole Proprietor?:No
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS