Individual
PERVAZ M. CHOUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5266 THORNBERRY DR, ROCKFORD, IL 61114-6395
(815) 877-2587
Mailing address
5266 THORNBERRY DR, ROCKFORD, IL 61114-6395
(815) 877-2587
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35376
WI
Other
Enumeration date
10/17/2005
Last updated
09/26/2012
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