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Individual
DR. SAMIULLAH M CHOUDRY
Active
Individual
DR. SAMIULLAH M CHOUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036105476
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932044
BCBS
IL
05
—
036105476
—
IL
Enumeration date
11/29/2007
Last updated
06/11/2010
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