Individual
MISS KANWAL SHAZIA CHAUDHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(312) 208-2565
Mailing address
320 W 38TH ST, 322, NEW YORK, NY 10018-3204
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036116930
IL
207P00000X
Emergency Medicine Physician
Primary
245857
NY
Other
Enumeration date
03/18/2007
Last updated
07/22/2016
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