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Individual

SHAHID SATTAR CHAUDHARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2835 FORT MISSOULA RD STE 203, MISSOULA, MT 59804-7424
(406) 327-4283
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2895
(605) 622-2896

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
5304
SD
207RN0300X
Nephrology Physician
Primary
58087
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13467
ND
01
2188442
AMERICA'S PPO
SD
01
255950
MIDLANDS CHOICE
01
4726
AVERA HEALTH PLAN
SD
01
4995138
WELLMARK BCBS OF SD
SD
01
5304
DAKOTACARE
SD
01
57401G001
TRICARE
SD
05
6631000
SD
Enumeration date
10/16/2006
Last updated
02/09/2021
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