Provider Demographics
NPI:1912136763
Name:CHAUDHARY, LUBNA NAAZ (MD)
Entity Type:Individual
Prefix:
First Name:LUBNA
Middle Name:NAAZ
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:HEMATOLOGY AND ONCOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-6800
Mailing Address - Fax:414-805-4944
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:HEMATOLOGY AND ONCOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-6800
Practice Address - Fax:414-805-4944
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2020-10-01
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Provider Licenses
StateLicense IDTaxonomies
WI61276207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1912136763Medicaid