MEDICARE: ASIF M CHAUDHRY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	M2282	TX
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	M2282	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679774152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIF M CHAUDHRY M.D.

Provider Business Mailing Address
First Line	:	2100 WEST LOOP S STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3544
Country	:	US
Telephone Number	:	832-436-4040
Fax Number	:	832-436-4050

Provider Business Practice Location Address
First Line	:	2100 WEST LOOP S STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3544
Country	:	US
Telephone Number	:	832-436-4040
Fax Number	:	832-436-4050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	01/11/2023

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