Individual
KHALID I CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Mailing address
1351 ONTARIO RD, GREEN BAY, WI 54311-8302
(920) 328-1220
(920) 469-7213
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
228976
NY
2084P0800X
Psychiatry Physician
Primary
66397
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02460979
—
NY
05
—
100063716
—
WI
Enumeration date
09/14/2006
Last updated
11/05/2025
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