Individual
DR. SHARIQ IQBAL CHUDHRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5450 CLEARFORK MAIN ST STE 200, FORT WORTH, TX 76109-3562
(817) 336-7191
(817) 877-4015
Mailing address
5450 CLEARFORK MAIN ST STE 200, FORT WORTH, TX 76109-3562
(817) 336-7191
(817) 877-4015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006359
AZ
207R00000X
Internal Medicine Physician
S0861
TX
207RR0500X
Rheumatology Physician
006359
AZ
207RR0500X
Rheumatology Physician
Primary
S0861
TX
Other
Enumeration date
04/11/2011
Last updated
09/03/2021
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