Individual
SHAHZAD CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 MANOR PL, GREENPORT, NY 11944-1222
(833) 843-3263
(833) 843-3263
Mailing address
201 MANOR PL, GREENPORT, NY 11944-1222
(833) 843-3263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
294453
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
294453
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2015
Last updated
07/31/2025
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