Provider Demographics
NPI:1912904996
Name:CHAUDHARY, HUMAIRA KHAWAJA (MD)
Entity Type:Individual
Prefix:MRS
First Name:HUMAIRA
Middle Name:KHAWAJA
Last Name:CHAUDHARY
Suffix:
Gender:F
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:PO BOX 16608
Mailing Address - Street 2:
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-6608
Mailing Address - Country:US
Mailing Address - Phone:281-205-8900
Mailing Address - Fax:281-898-7615
Practice Address - Street 1:15200 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 310
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-205-8900
Practice Address - Fax:281-898-7615
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6046207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB116859Medicare PIN
TX8L27403Medicare PIN