Individual
DR. SHAUKAT ALI CHAUDHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S MAIN ST STE 209, MISHAWAKA, IN 46544-2160
(574) 255-4191
(574) 259-8468
Mailing address
303 S MAIN ST STE 209, MISHAWAKA, IN 46544-2160
(574) 255-4191
(574) 259-8468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1025631
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222370A
—
IN
Enumeration date
05/05/2006
Last updated
11/04/2025
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