MEDICARE: DR. SHAHID M CHAUDHARY 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	208D00000X	General Practice Physician	19793	PR

General Provider Information

NPI Number	:	1932187499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHID M CHAUDHARY M.D.

Provider Business Mailing Address
First Line	:	99 CALLE PALENCIA, URB. SULTANA
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-4633
Country	:	US
Telephone Number	:	787-673-1238
Fax Number	:

Provider Business Practice Location Address
First Line	:	ROCHELAISE CENTER, WESTERN INDUST PARK. OFICINA 3B
Second Line	:	CARR 114, KM 0.4
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-0068
Country	:	US
Telephone Number	:	787-412-7805
Fax Number	:

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	11/12/2024

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