# CHAUDHRY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHAUDHRY CLINIC LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891392304
- **Authorized official:** RIAZ MASUD CHAUDHRY MD (OWNER)
- **Authorized official phone:** (318) 992-4133

## Contact information

- **Practice address:** 11809 HIGHWAY 84 W, JENA, LA 71342-3703
- **Practice address phone:** (318) 992-4133
- **Mailing address:** PO BOX 1470, 11809 HWY 84, JENA, LA 71342-1470
- **Mailing address phone:** (318) 992-4133
- **Mailing address fax:** (318) 992-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2020
- **Last updated:** 09/24/2026
