Individual
MR. SHUJAHAT ALI CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4190
Mailing address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75447
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100178536
—
WI
Enumeration date
04/26/2018
Last updated
11/30/2021
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