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Individual

DR. ILYAS A CHAUDHRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 4TH ST, SUITE 4A, ALEXANDRIA, LA 71301-8421
(318) 442-8698
(318) 442-1358
Mailing address
201 4TH ST, SUITE 4A, ALEXANDRIA, LA 71301-8421
(318) 442-8698
(318) 442-1358

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
06448R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125838
MS
01
110067823
RAILROAD MEDICARE
LA
05
1340855
LA
01
71301A002
TRICARE
LA
Enumeration date
10/11/2005
Last updated
09/06/2012
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